Provider Demographics
NPI:1508038159
Name:FRANCIS, CHRISTIE LYNN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:LYNN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9172 CEDAR RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9168
Mailing Address - Country:US
Mailing Address - Phone:419-344-1531
Mailing Address - Fax:734-854-2441
Practice Address - Street 1:8336 MONROE RD
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9339
Practice Address - Country:US
Practice Address - Phone:734-854-2441
Practice Address - Fax:734-854-2441
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11095225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist