Provider Demographics
NPI:1164959458
Name:TURNER, BRANDILYN ALISON (LMT)
Entity Type:Individual
Prefix:
First Name:BRANDILYN
Middle Name:ALISON
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:BRANDILYN
Other - Middle Name:ALISON
Other - Last Name:CAMERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 APPLEWAY DR APT 2
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6095
Mailing Address - Country:US
Mailing Address - Phone:406-890-4557
Mailing Address - Fax:
Practice Address - Street 1:1013 7TH AVE W
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5562
Practice Address - Country:US
Practice Address - Phone:406-890-4557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-9978225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty