Provider Demographics
NPI:1790778652
Name:PARKS, CHRISS D (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISS
Middle Name:D
Last Name:PARKS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:PO BOX 775842
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-5842
Mailing Address - Country:US
Mailing Address - Phone:970-879-8133
Mailing Address - Fax:970-879-6481
Practice Address - Street 1:100 PARK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5012
Practice Address - Country:US
Practice Address - Phone:970-879-8133
Practice Address - Fax:970-879-6481
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2066225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO066607Medicare Oscar/Certification