Provider Demographics
NPI:1518584218
Name:SLATER, CHRISTOPHER ZANE
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ZANE
Last Name:SLATER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 MILLER CROSSROADS RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37342-3720
Mailing Address - Country:US
Mailing Address - Phone:931-315-3010
Mailing Address - Fax:
Practice Address - Street 1:1915 MILLER CROSSROADS RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TN
Practice Address - Zip Code:37342-3720
Practice Address - Country:US
Practice Address - Phone:931-315-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer