Provider Demographics
NPI:1376783753
Name:WILLIAMS, CHRISTOPHER IAN
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:IAN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 NE 90TH ST
Mailing Address - Street 2:A203
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8230
Mailing Address - Country:US
Mailing Address - Phone:951-500-4740
Mailing Address - Fax:
Practice Address - Street 1:2021 NE 90TH ST
Practice Address - Street 2:A203
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8230
Practice Address - Country:US
Practice Address - Phone:951-500-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60025078225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist