Provider Demographics
NPI:1184712234
Name:CHRISTEN, SHEILA M (PT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:M
Last Name:CHRISTEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 TYLER PATH
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-7512
Mailing Address - Country:US
Mailing Address - Phone:320-654-8086
Mailing Address - Fax:
Practice Address - Street 1:1521 NORTHWAY DR
Practice Address - Street 2:SUITE #116
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4489
Practice Address - Country:US
Practice Address - Phone:320-654-9838
Practice Address - Fax:320-654-0981
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5667225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN64-05608OtherMEDICA AND SELECT CARE
MN351G4SWOtherBLUE CROSS BLUE SHIELD
MNP00234581OtherRAILROAD MEDICARE
MNHP42620OtherHEALTH PARTNERS