Provider Demographics
NPI:1184036840
Name:BEERS, BRANDEE
Entity Type:Individual
Prefix:
First Name:BRANDEE
Middle Name:
Last Name:BEERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:ESTER
Mailing Address - State:AK
Mailing Address - Zip Code:99725-0476
Mailing Address - Country:US
Mailing Address - Phone:907-750-3226
Mailing Address - Fax:
Practice Address - Street 1:626 2ND ST STE 101
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3466
Practice Address - Country:US
Practice Address - Phone:907-750-3226
Practice Address - Fax:888-920-3364
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist