Provider Demographics
NPI:1861816076
Name:FLEMING, CHRISTINE (PTA)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:STODDARD
Mailing Address - State:NH
Mailing Address - Zip Code:03464-0352
Mailing Address - Country:US
Mailing Address - Phone:603-313-7800
Mailing Address - Fax:
Practice Address - Street 1:40 CARPENTER ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3807
Practice Address - Country:US
Practice Address - Phone:603-313-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3529M225700000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1Medicare PIN