Provider Demographics
NPI:1518564558
Name:BRAZEE, CURTIS (LMT, CMMP, CPT)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:
Last Name:BRAZEE
Suffix:
Gender:M
Credentials:LMT, CMMP, CPT
Other - Prefix:MR
Other - First Name:CURTIS
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6361 BEARCAT LOOP
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-1373
Mailing Address - Country:US
Mailing Address - Phone:719-761-8035
Mailing Address - Fax:
Practice Address - Street 1:3604 GALLEY RD STE 304
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-4302
Practice Address - Country:US
Practice Address - Phone:719-761-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0020731225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist