Provider Demographics
NPI:1194961193
Name:BRINDLEY, CHRIS MARTIN (DC)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:MARTIN
Last Name:BRINDLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S YALE ST STE 250
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-7336
Mailing Address - Country:US
Mailing Address - Phone:928-556-0707
Mailing Address - Fax:928-250-5337
Practice Address - Street 1:1501 S YALE ST STE 250
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-7336
Practice Address - Country:US
Practice Address - Phone:928-556-0707
Practice Address - Fax:928-250-5337
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-21
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9358111N00000X
OR15666225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist