Provider Demographics
NPI:1720507346
Name:SHARPSHAIR, CHRISTEY LEIGH (MSOM, LAC)
Entity Type:Individual
Prefix:
First Name:CHRISTEY
Middle Name:LEIGH
Last Name:SHARPSHAIR
Suffix:
Gender:F
Credentials:MSOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 DEER RUN DR NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-7365
Mailing Address - Country:US
Mailing Address - Phone:641-750-7183
Mailing Address - Fax:
Practice Address - Street 1:4700 TAMA ST SE STE 300
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-4537
Practice Address - Country:US
Practice Address - Phone:319-318-2120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist