Provider Demographics
NPI:1023244274
Name:KNAPP, CHRISTINE (LMP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:KNAPP
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 1:13110 N ADDISON ST APT A101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6092
Mailing Address - Country:US
Mailing Address - Phone:509-981-5268
Mailing Address - Fax:509-448-9991
Practice Address - Street 1:2718 E 57TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-6605
Practice Address - Country:US
Practice Address - Phone:509-448-9990
Practice Address - Fax:509-448-9991
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60036686225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist