Provider Demographics
NPI:1225502339
Name:LOWDEN, CHRYSTIE Q (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRYSTIE
Middle Name:Q
Last Name:LOWDEN
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 1:880 NORTHWOOD BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89451-8249
Mailing Address - Country:US
Mailing Address - Phone:775-400-0878
Mailing Address - Fax:775-832-3757
Practice Address - Street 1:880 NORTHWOOD BLVD STE 1
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-8249
Practice Address - Country:US
Practice Address - Phone:775-400-0878
Practice Address - Fax:775-832-3757
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor