Provider Demographics
NPI:1073800215
Name:HINKLE, BRANDI D (LMT)
Entity Type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:D
Last Name:HINKLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 MORROW RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-9379
Mailing Address - Country:US
Mailing Address - Phone:304-521-3805
Mailing Address - Fax:
Practice Address - Street 1:3601 MORROW RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-9379
Practice Address - Country:US
Practice Address - Phone:304-521-3805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2011-2864172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist