Provider Demographics
NPI:1306724158
Name:ALANIZ, CHRISTEN ANTHONY (ATC)
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:ANTHONY
Last Name:ALANIZ
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1384 N IZARD LN APT 107
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-4817
Mailing Address - Country:US
Mailing Address - Phone:479-396-9985
Mailing Address - Fax:
Practice Address - Street 1:1384 N IZARD LN APT 107
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-4817
Practice Address - Country:US
Practice Address - Phone:479-396-9985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer