(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003289158
Provider Name: BRENT HANEY LMT
Entity Type: Individual
Taxonomy Code: 225700000X
Specialty: Massage Therapist
License Number: MT.0016804
Most Important Dates
Enumeration Date: 11/10/2015
Last Updated: 11/16/2021
Provider Practice Location
2457 LARK DR
COLORADO SPRINGS
CO
809091863
Practice Location Phone/Fax
Phone: 7192879184
Fax:
Provider Mailing Location
2457 LARK DR
COLORADO SPRINGS
CO
809091863
Provider Mailing Phone/Fax
Phone: 7192879184
Fax: