Provider Demographics
NPI:1073620787
Name:K. CHRISTENSEN INC
Entity Type:Organization
Organization Name:K. CHRISTENSEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER LIS. MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NINOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, NMT
Authorized Official - Phone:941-746-7974
Mailing Address - Street 1:3216 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-3432
Mailing Address - Country:US
Mailing Address - Phone:941-746-7974
Mailing Address - Fax:941-746-0454
Practice Address - Street 1:5910 26TH STREET WEST
Practice Address - Street 2:SUITE E
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207
Practice Address - Country:US
Practice Address - Phone:941-746-7974
Practice Address - Fax:941-746-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA28916174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty