Provider Demographics
NPI:1336342351
Name:VALDEZ, CHRISTINA M (PTA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:KNOWLTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:24951 E US HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81006-2027
Mailing Address - Country:US
Mailing Address - Phone:719-542-1671
Mailing Address - Fax:719-544-7248
Practice Address - Street 1:249571 E. HWY 50
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81006-2027
Practice Address - Country:US
Practice Address - Phone:719-542-1671
Practice Address - Fax:719-544-7248
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant