NPI Code Details Logo

NPI 1194961193

NPI 1194961193 : CHRIS MARTIN BRINDLEY DC : FLAGSTAFF, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194961193
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHRIS MARTIN BRINDLEY DC
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/21/2008
-----------------------------------------------------
    Last Update Date     |    12/12/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1501 S YALE ST STE 250 
-----------------------------------------------------
    City                 |    FLAGSTAFF
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    86001-7336
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    928-556-0707
-----------------------------------------------------
    Fax                  |    928-250-5337
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1501 S YALE ST STE 250 
-----------------------------------------------------
    City                 |    FLAGSTAFF
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    86001-7336
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    928-556-0707
-----------------------------------------------------
    Fax                  |    928-250-5337
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    9358
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225700000X
-----------------------------------------------------
    Taxonomy Name        |    Massage Therapist
-----------------------------------------------------
    License Number       |    15666
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.