Provider Demographics
NPI:1194845909
Name:HOWARD, CHRISTINA DEANNE (MPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DEANNE
Last Name:HOWARD
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 1:1859 JEFFERSON STREET
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402
Mailing Address - Country:US
Mailing Address - Phone:541-684-4542
Mailing Address - Fax:541-689-4525
Practice Address - Street 1:2401 RIVER RD
Practice Address - Street 2:STE 102 AXIS PHYSICAL THERAPY & REHAB INC
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404
Practice Address - Country:US
Practice Address - Phone:541-683-6187
Practice Address - Fax:541-689-4529
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181410Medicaid
OR181410Medicaid