Provider Demographics
NPI:1417076282
Name:NEIGHBORS, BROOKE LEE (CMT)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:LEE
Last Name:NEIGHBORS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 B 4/10 RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81503-2185
Mailing Address - Country:US
Mailing Address - Phone:970-234-5066
Mailing Address - Fax:
Practice Address - Street 1:1000 N 9TH ST
Practice Address - Street 2:SUITE 38
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3155
Practice Address - Country:US
Practice Address - Phone:970-234-5066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist