Provider Demographics
NPI:1891988655
Name:SEGEL, CHRISTINA M (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:SEGEL
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:PO BOX 2580
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-2580
Mailing Address - Country:US
Mailing Address - Phone:813-948-2800
Mailing Address - Fax:813-948-2800
Practice Address - Street 1:108 WHITAKER RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-5642
Practice Address - Country:US
Practice Address - Phone:813-948-2800
Practice Address - Fax:813-948-2800
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA30496225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist