Provider Demographics
NPI:1821428970
Name:LOWER, CHRISTINA M (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:LOWER
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 1:83 W PULTENEY ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2213
Mailing Address - Country:US
Mailing Address - Phone:607-592-4847
Mailing Address - Fax:
Practice Address - Street 1:246 ENFIELD CENTER RD E
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-9349
Practice Address - Country:US
Practice Address - Phone:607-592-4847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014397225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist