Provider Demographics
NPI:1225186380
Name:BLOOD, BRANDON T (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:T
Last Name:BLOOD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3684 DRESSLER RD NW STE 2B
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2781
Mailing Address - Country:US
Mailing Address - Phone:330-479-9193
Mailing Address - Fax:
Practice Address - Street 1:3684 DRESSLER RD NW STE 2B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2781
Practice Address - Country:US
Practice Address - Phone:330-479-9193
Practice Address - Fax:330-479-9165
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor