Provider Demographics
NPI:1669187886
Name:NASH, CHRISTOPHER (LMT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:NASH
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WATERMARK PL APT 215
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-8202
Mailing Address - Country:US
Mailing Address - Phone:843-576-9994
Mailing Address - Fax:
Practice Address - Street 1:1000 WATERMARK PL APT 215
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8202
Practice Address - Country:US
Practice Address - Phone:843-576-9994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13103225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist