Provider Demographics
NPI:1134494552
Name:GRASSEL, CHRISTINE LYNN (DC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LYNN
Last Name:GRASSEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:LYNN
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:177 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-1439
Mailing Address - Country:US
Mailing Address - Phone:419-342-3473
Mailing Address - Fax:
Practice Address - Street 1:177 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1439
Practice Address - Country:US
Practice Address - Phone:419-342-3473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2020-08-07
Deactivation Date:2012-12-17
Deactivation Code:
Reactivation Date:2020-08-05
Provider Licenses
StateLicense IDTaxonomies
OH3297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor