Provider Demographics
NPI:1104392174
Name:WRIGHT, AUBREY LIAN (LMT)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:LIAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:AUBREY
Other - Middle Name:LIAN
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NONE
Mailing Address - Street 1:5172 QUITMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2608
Mailing Address - Country:US
Mailing Address - Phone:720-422-1882
Mailing Address - Fax:
Practice Address - Street 1:3535 W 44TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1313
Practice Address - Country:US
Practice Address - Phone:719-581-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0018871225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist