Provider Demographics
NPI:1821196049
Name:ADAMS, CHRISTOPHER DAVID (PT, MPT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 E US HIGHWAY 80
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8615
Mailing Address - Country:US
Mailing Address - Phone:972-564-3390
Mailing Address - Fax:972-564-3399
Practice Address - Street 1:104 E HIGHWAY 80
Practice Address - Street 2:SUITE 180
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:972-564-3390
Practice Address - Fax:972-564-3399
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1155770225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist