Provider Demographics
NPI:1366693343
Name:BAUSCH, CHRISTINA D (DPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:D
Last Name:BAUSCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 SW 17TH ST.
Mailing Address - Street 2:STE 130
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2458
Mailing Address - Country:US
Mailing Address - Phone:785-271-5533
Mailing Address - Fax:785-271-8818
Practice Address - Street 1:5220 SW 17TH ST.
Practice Address - Street 2:STE 130
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2458
Practice Address - Country:US
Practice Address - Phone:785-271-5533
Practice Address - Fax:785-271-8818
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist