Provider Demographics
NPI:1699027276
Name:BROWN, CHRISTEN LEIGH
Entity Type:Individual
Prefix:MISS
First Name:CHRISTEN
Middle Name:LEIGH
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 E BIGELOW ST
Mailing Address - Street 2:
Mailing Address - City:UPPER SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:43351-1120
Mailing Address - Country:US
Mailing Address - Phone:419-731-3060
Mailing Address - Fax:
Practice Address - Street 1:224 W JOHNSON ST
Practice Address - Street 2:
Practice Address - City:UPPER SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:43351-1345
Practice Address - Country:US
Practice Address - Phone:419-731-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5644225200000X
OH33.023292225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5644OtherPTA LISCENCE
OH33.023292OtherMASSAGE THERAPY LICENSE