Provider Demographics
NPI:1669689972
Name:DAVIS, CHRISTOPHER ROCKWELL (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROCKWELL
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:MN
Mailing Address - Zip Code:56441-1276
Mailing Address - Country:US
Mailing Address - Phone:218-546-7030
Mailing Address - Fax:218-545-0100
Practice Address - Street 1:424 OAK ST
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:MN
Practice Address - Zip Code:56441-1276
Practice Address - Country:US
Practice Address - Phone:218-546-7030
Practice Address - Fax:218-545-0100
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5798111NS0005X
MN6753111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician