MEDICARE: BRANDY EURICH MASSAGE THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	0017488	CO

General Provider Information

NPI Number	:	1063213692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY EURICH MASSAGE THERAPIST

Provider Business Mailing Address
First Line	:	1426 N HANCOCK AVE STE 5N
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-2672
Country	:	US
Telephone Number	:	719-362-6479
Fax Number	:

Provider Business Practice Location Address
First Line	:	1426 N HANCOCK AVE STE 5N
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-2672
Country	:	US
Telephone Number	:	719-362-6479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	03/20/2025

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