Provider Demographics
NPI:1568666832
Name:FINNEY, BRANDY M (PT)
Entity Type:Individual
Prefix:MS
First Name:BRANDY
Middle Name:M
Last Name:FINNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:
Other - Last Name:NICKLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 N MILL ST
Mailing Address - Street 2:
Mailing Address - City:GREENUP
Mailing Address - State:IL
Mailing Address - Zip Code:62428
Mailing Address - Country:US
Mailing Address - Phone:502-244-5044
Mailing Address - Fax:
Practice Address - Street 1:12001 SHELBYVILLE RD STE C
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-3008
Practice Address - Country:US
Practice Address - Phone:502-244-5044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY186592Medicare ID - Type Unspecified