Provider Demographics
NPI:1205102803
Name:LLOYD, CHRISTINA ANN (LMT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ANN
Last Name:LLOYD
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 1:1008 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2718
Mailing Address - Country:US
Mailing Address - Phone:937-451-9002
Mailing Address - Fax:
Practice Address - Street 1:1008 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2718
Practice Address - Country:US
Practice Address - Phone:937-451-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.018012225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist