Provider Demographics
NPI:1689829616
Name:MONROE, CHRISTIA ANDERSON (RPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIA
Middle Name:ANDERSON
Last Name:MONROE
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:MRS
Other - First Name:CHRISTIA
Other - Middle Name:ANDERSON
Other - Last Name:PUCKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPT
Mailing Address - Street 1:PO BOX 160010
Mailing Address - Street 2:
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-0010
Mailing Address - Country:US
Mailing Address - Phone:406-995-7525
Mailing Address - Fax:406-995-7528
Practice Address - Street 1:795 LITTLE COYOTE RD.
Practice Address - Street 2:
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716-0010
Practice Address - Country:US
Practice Address - Phone:406-995-7525
Practice Address - Fax:406-995-7528
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1346208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation