Provider Demographics
NPI:1043565831
Name:TOMPSON, CHRISTINA NIHEM (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:NIHEM
Last Name:TOMPSON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 NANILOA DR
Mailing Address - Street 2:APARTMENT 201
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2437
Mailing Address - Country:US
Mailing Address - Phone:808-205-8267
Mailing Address - Fax:
Practice Address - Street 1:36 NANILOA DR
Practice Address - Street 2:APARTMENT 201
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2437
Practice Address - Country:US
Practice Address - Phone:808-205-8267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2255225100000X
CO5183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist