Provider Demographics
NPI:1477713709
Name:ROPER, CHRISTA L (LMP)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:L
Last Name:ROPER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 ASHBOURNE LN SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-9120
Mailing Address - Country:US
Mailing Address - Phone:253-720-9106
Mailing Address - Fax:
Practice Address - Street 1:3914 6TH AVE
Practice Address - Street 2:STE B
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-4906
Practice Address - Country:US
Practice Address - Phone:253-404-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023097225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist