Provider Demographics
NPI:1194514422
Name:TRIPLETT, BRANNA (REIKI PRACTITIONER)
Entity type:Individual
Prefix:
First Name:BRANNA
Middle Name:
Last Name:TRIPLETT
Suffix:
Gender:
Credentials:REIKI PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16407 HERMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-5808
Mailing Address - Country:US
Mailing Address - Phone:708-400-0711
Mailing Address - Fax:708-400-0711
Practice Address - Street 1:16266 PRINCE DR
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-3233
Practice Address - Country:US
Practice Address - Phone:815-365-6646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist