Provider Demographics
NPI:1336297480
Name:VIZNER, CHRISTA (ATC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:
Last Name:VIZNER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 BLACKJACK RD
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:KS
Mailing Address - Zip Code:66535-9624
Mailing Address - Country:US
Mailing Address - Phone:785-494-2026
Mailing Address - Fax:
Practice Address - Street 1:4015 BLACKJACK RD
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:KS
Practice Address - Zip Code:66535-9624
Practice Address - Country:US
Practice Address - Phone:785-494-2026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist