Provider Demographics
NPI:1215583380
Name:MILNE, CHRISTINA AMANDA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:AMANDA
Last Name:MILNE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:AMANDA
Other - Last Name:PENALBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2800 SE 8TH ST UNIT 1135
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-4422
Mailing Address - Country:US
Mailing Address - Phone:951-505-8868
Mailing Address - Fax:
Practice Address - Street 1:400 S 43RD ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5714
Practice Address - Country:US
Practice Address - Phone:425-690-3650
Practice Address - Fax:425-690-9650
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297183225100000X
WAPT61032123225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist