Provider Demographics
NPI:1700037355
Name:WOO CHRISTMANN, CHRISTINE M (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:WOO CHRISTMANN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-027 HEKAHA ST
Mailing Address - Street 2:44
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4910
Mailing Address - Country:US
Mailing Address - Phone:808-488-7033
Mailing Address - Fax:808-488-7033
Practice Address - Street 1:98-027 HEKAHA ST
Practice Address - Street 2:SUITE 44
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4910
Practice Address - Country:US
Practice Address - Phone:808-488-7033
Practice Address - Fax:808-488-7033
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 9372225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist