Provider Demographics
NPI:1073245809
Name:MARTIN-BRANDLEY, LAUREL A (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:A
Last Name:MARTIN-BRANDLEY
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 1:815 COURT ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-1769
Mailing Address - Country:US
Mailing Address - Phone:603-355-9911
Mailing Address - Fax:
Practice Address - Street 1:815 COURT ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1769
Practice Address - Country:US
Practice Address - Phone:603-355-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor