Provider Demographics
NPI:1518383454
Name:PATTERSON, CHRISTOPHER TODD (CO, LO)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:CO, LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 STONEBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4573
Mailing Address - Country:US
Mailing Address - Phone:615-553-4516
Mailing Address - Fax:615-873-8261
Practice Address - Street 1:1310 24TH AVE S
Practice Address - Street 2:PROSTHETICS & SENSORY AIDS SERVICE (3G124)
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-873-7770
Practice Address - Fax:615-873-8261
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN155222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist