Provider Demographics
NPI:1760517171
Name:SARIS, CHRISTINE J (MASSAGE THERAPIST OW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:J
Last Name:SARIS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST OW
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:SARIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:1300 E LIME ST
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689
Mailing Address - Country:US
Mailing Address - Phone:727-432-7847
Mailing Address - Fax:727-934-6844
Practice Address - Street 1:22 N HIBISCUS ST
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689
Practice Address - Country:US
Practice Address - Phone:727-432-7847
Practice Address - Fax:727-934-6844
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA30786225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist