Provider Demographics
NPI:1619990942
Name:ACHLEITNER, CHRISTINA (LPT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:ACHLEITNER
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5139
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-5139
Mailing Address - Country:US
Mailing Address - Phone:956-982-8907
Mailing Address - Fax:956-982-0436
Practice Address - Street 1:535 PAREDES LINE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2483
Practice Address - Country:US
Practice Address - Phone:956-982-8907
Practice Address - Fax:956-982-0436
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1110880225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPT0010741Medicaid
TX650581Medicare PIN
TXPT0010741Medicaid