Provider Demographics
NPI:1770901092
Name:COLLINS, CHRISTOPHER STEPHEN (LMP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:STEPHEN
Last Name:COLLINS
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Gender:M
Credentials:LMP
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Mailing Address - Street 1:7100 FUN CENTER WAY #120
Mailing Address - Street 2:WASHINGTON CHIROPRACTIC, PLLC
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188
Mailing Address - Country:US
Mailing Address - Phone:426-251-3101
Mailing Address - Fax:206-582-2976
Practice Address - Street 1:7100 FUN CENTER WAY #120
Practice Address - Street 2:WASHINGTON CHIROPRACTIC, PLLC
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188
Practice Address - Country:US
Practice Address - Phone:426-251-3101
Practice Address - Fax:206-582-2976
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
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Provider Licenses
StateLicense IDTaxonomies
WAMA60049080225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist