Provider Demographics
NPI:1700592607
Name:CHRISTIAN, FLINN (ATC)
Entity Type:Individual
Prefix:
First Name:FLINN
Middle Name:
Last Name:CHRISTIAN
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 1:12 EBB TIDE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29920-5013
Mailing Address - Country:US
Mailing Address - Phone:803-465-3208
Mailing Address - Fax:
Practice Address - Street 1:12 EBB TIDE CT
Practice Address - Street 2:
Practice Address - City:SAINT HELENA ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29920-5013
Practice Address - Country:US
Practice Address - Phone:803-465-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer