Provider Demographics
NPI:1750194627
Name:BRINDLEY, KRISTINA (LAC)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:BRINDLEY
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9724 KINGSTON PIKE STE 401
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3396
Mailing Address - Country:US
Mailing Address - Phone:865-304-0565
Mailing Address - Fax:
Practice Address - Street 1:9724 KINGSTON PIKE STE 401
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3396
Practice Address - Country:US
Practice Address - Phone:865-304-0565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACU0000000525171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist