Provider Demographics
NPI:1841473725
Name:DREXLER, BARRY M (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:M
Last Name:DREXLER
Suffix:
Gender:M
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 1:5395 S TRUCKEE CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2648
Mailing Address - Country:US
Mailing Address - Phone:303-512-0791
Mailing Address - Fax:
Practice Address - Street 1:7007 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3011
Practice Address - Country:US
Practice Address - Phone:303-512-0791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89-2092174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist