Provider Demographics
NPI:1255532198
Name:CHRISTMAN, JENNY LYNN (LMT)
Entity type:Individual
Prefix:MS
First Name:JENNY
Middle Name:LYNN
Last Name:CHRISTMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:L
Other - Last Name:CHRISTMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:9370 BALLENTINE RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-9008
Mailing Address - Country:US
Mailing Address - Phone:513-535-0059
Mailing Address - Fax:
Practice Address - Street 1:902 N HIGH ST
Practice Address - Street 2:SUITE A
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-8501
Practice Address - Country:US
Practice Address - Phone:937-393-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11401225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist