Provider Demographics
NPI:1508901745
Name:CHRISTIANSEN, CHRISTINA L (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:L
Last Name:CHRISTIANSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 E SPRINGBROOK DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1733
Mailing Address - Country:US
Mailing Address - Phone:423-434-2080
Mailing Address - Fax:423-434-2185
Practice Address - Street 1:217 E SPRINGBROOK DR
Practice Address - Street 2:SUITE #1
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1733
Practice Address - Country:US
Practice Address - Phone:423-434-2080
Practice Address - Fax:423-434-2185
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor