Provider Demographics
NPI:1205667797
Name:BRINDLE, HEATHER KAYE
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:KAYE
Last Name:BRINDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 WALLACE AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-3860
Mailing Address - Country:US
Mailing Address - Phone:717-491-0231
Mailing Address - Fax:
Practice Address - Street 1:1031 WALLACE AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3860
Practice Address - Country:US
Practice Address - Phone:717-491-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist