Provider Demographics
NPI:1114343795
Name:REDDING, CHRISTINA M (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:REDDING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 S RANCHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-4871
Mailing Address - Country:US
Mailing Address - Phone:405-577-6100
Mailing Address - Fax:405-494-7313
Practice Address - Street 1:1117 S RANCHWOOD BLVD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4871
Practice Address - Country:US
Practice Address - Phone:405-577-6100
Practice Address - Fax:405-494-7313
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor