Provider Demographics
NPI:1922300037
Name:STILES, CHRISTINA LYN (LMT)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:LYN
Last Name:STILES
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 1:59 MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1540
Mailing Address - Country:US
Mailing Address - Phone:607-316-8830
Mailing Address - Fax:
Practice Address - Street 1:59 MITCHELL ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1540
Practice Address - Country:US
Practice Address - Phone:607-316-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023010225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist