Provider Demographics
NPI:1720824956
Name:BEASLEY, HALEY BROOKE (DC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:BROOKE
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 COUNTY ROAD 783
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-8017
Mailing Address - Country:US
Mailing Address - Phone:256-531-3485
Mailing Address - Fax:
Practice Address - Street 1:108 BROOKLYN RD
Practice Address - Street 2:
Practice Address - City:HOLLY POND
Practice Address - State:AL
Practice Address - Zip Code:35083-6487
Practice Address - Country:US
Practice Address - Phone:256-531-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor