Healthcare Provider Details

I. General information

NPI: 1194961193
Provider Name (Legal Business Name): CHRIS MARTIN BRINDLEY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2008
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S YALE ST STE 250
FLAGSTAFF AZ
86001-7336
US

IV. Provider business mailing address

1501 S YALE ST STE 250
FLAGSTAFF AZ
86001-7336
US

V. Phone/Fax

Practice location:
  • Phone: 928-556-0707
  • Fax: 928-250-5337
Mailing address:
  • Phone: 928-556-0707
  • Fax: 928-250-5337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9358
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number15666
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: