Provider Demographics
NPI:1851426423
Name:PAYTON, CHRISTINE D (LMP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:D
Last Name:PAYTON
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 KING ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2857
Mailing Address - Country:US
Mailing Address - Phone:509-680-1984
Mailing Address - Fax:
Practice Address - Street 1:330 KING ST
Practice Address - Street 2:#6
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2857
Practice Address - Country:US
Practice Address - Phone:509-680-1984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA000019115225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist