Provider Demographics
NPI:1679038053
Name:MONTANO, CHRISTINA BRISCOE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:BRISCOE
Last Name:MONTANO
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 1:1119 SANDRA DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80534-8486
Mailing Address - Country:US
Mailing Address - Phone:262-719-7262
Mailing Address - Fax:
Practice Address - Street 1:8753 YATES DR
Practice Address - Street 2:BUILDING 2, #104
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031
Practice Address - Country:US
Practice Address - Phone:303-429-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-09
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor