Provider Demographics
NPI:1063213692
Name:EURICH, BRANDY (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:EURICH
Suffix:
Gender:
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 N HANCOCK AVE STE 5N
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2672
Mailing Address - Country:US
Mailing Address - Phone:719-362-6479
Mailing Address - Fax:
Practice Address - Street 1:1426 N HANCOCK AVE STE 5N
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2672
Practice Address - Country:US
Practice Address - Phone:719-362-6479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0017488225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist