Provider Demographics
NPI:1205285871
Name:HEMSLEY, BRANDI (DPT)
Entity type:Individual
Prefix:MISS
First Name:BRANDI
Middle Name:
Last Name:HEMSLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:
Other - Last Name:SIEREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1394 170TH ST
Mailing Address - Street 2:
Mailing Address - City:WELLMAN
Mailing Address - State:IA
Mailing Address - Zip Code:52356-9610
Mailing Address - Country:US
Mailing Address - Phone:641-660-3942
Mailing Address - Fax:
Practice Address - Street 1:511 HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-9782
Practice Address - Country:US
Practice Address - Phone:319-653-5494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA082750225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist