Provider Demographics
NPI:1346218286
Name:HEATH, BRANDI LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:LEE
Last Name:HEATH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:LEE
Other - Last Name:WEBBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35322 KENAI SPUR HWY STE B
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7643
Mailing Address - Country:US
Mailing Address - Phone:907-262-9222
Mailing Address - Fax:907-262-9212
Practice Address - Street 1:35322 KENAI SPUR HWY STE B
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7643
Practice Address - Country:US
Practice Address - Phone:907-262-9222
Practice Address - Fax:907-262-9212
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor