Provider Demographics
NPI:1639383748
Name:HUFF, CHRISTINA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIE
Last Name:HUFF
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:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:PACIFIC
Mailing Address - State:MO
Mailing Address - Zip Code:63069-0218
Mailing Address - Country:US
Mailing Address - Phone:636-257-4622
Mailing Address - Fax:636-257-4622
Practice Address - Street 1:504 W OSAGE ST
Practice Address - Street 2:
Practice Address - City:PACIFIC
Practice Address - State:MO
Practice Address - Zip Code:63069-1335
Practice Address - Country:US
Practice Address - Phone:636-257-4622
Practice Address - Fax:636-257-4622
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007011986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000021647Medicare PIN
MOMA3091Medicare PIN