Doctor Name: | MR. BRUCE DOUGLAS LEIBBRANDT |
NPI Number: | 1992844732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CMT |
License Number: | |
Business Practice Address: | 7400 E Arapahoe Rd Centennial, CO - 801121279 |
Business Phone Number: | 3032249920 |
Business Fax Number: | |
Mailing Address: | 7177 S Magnolia Cir, CENTENNIAL |
State: | CO |
Postal Code: | 801121120 |
Phone Number: | 3037598830 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |