Provider Demographics
NPI:1770970832
Name:TURK, CHRISTOPHER TULLY II (ATC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TULLY
Last Name:TURK
Suffix:II
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 IDAHO ST
Mailing Address - Street 2:#5
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-7912
Mailing Address - Country:US
Mailing Address - Phone:619-739-3906
Mailing Address - Fax:
Practice Address - Street 1:3975 IDAHO ST
Practice Address - Street 2:#5
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-7912
Practice Address - Country:US
Practice Address - Phone:619-739-3906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program