Provider Demographics
NPI:1316197049
Name:MORAWSKI, CHRISTIN MICHELLE (PT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTIN
Middle Name:MICHELLE
Last Name:MORAWSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CHRISTIN
Other - Middle Name:MICHELLE
Other - Last Name:BOHNSACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8615 W BELOIT RD
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-3711
Mailing Address - Country:US
Mailing Address - Phone:414-607-4223
Mailing Address - Fax:
Practice Address - Street 1:8615 W BELOIT RD
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-3711
Practice Address - Country:US
Practice Address - Phone:414-607-4223
Practice Address - Fax:414-323-6810
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11081-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist