Provider Demographics
NPI:1972973758
Name:BIDDLE, CHRISTINA ELISA (MS, LAT, ATC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ELISA
Last Name:BIDDLE
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 R C COOK RD
Mailing Address - Street 2:APT 1
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-9583
Mailing Address - Country:US
Mailing Address - Phone:540-550-5632
Mailing Address - Fax:
Practice Address - Street 1:236 R C COOK RD
Practice Address - Street 2:APT 1
Practice Address - City:BLOWING ROCK
Practice Address - State:NC
Practice Address - Zip Code:28605-9583
Practice Address - Country:US
Practice Address - Phone:540-550-5632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer