Provider Demographics
NPI:1376970715
Name:WILLIAMS, CHRISTINE ROSE (RMT)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:ROSE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 W 135TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-1057
Mailing Address - Country:US
Mailing Address - Phone:303-596-2101
Mailing Address - Fax:
Practice Address - Street 1:1830 W 135TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-1057
Practice Address - Country:US
Practice Address - Phone:303-596-2101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013103174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist