Provider Demographics
NPI:1801402052
Name:HARTMAN, CHRISTINE D (CMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:D
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 DE LA VINA ST APT A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-6800
Mailing Address - Country:US
Mailing Address - Phone:415-755-5204
Mailing Address - Fax:
Practice Address - Street 1:2028 DE LA VINA ST APT A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6800
Practice Address - Country:US
Practice Address - Phone:415-755-5204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28056225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist