Provider Demographics
NPI:1831371780
Name:DESCHLER, CHRISTINE (LMT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:DESCHLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FRANDORSON CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2659
Mailing Address - Country:US
Mailing Address - Phone:813-641-9118
Mailing Address - Fax:813-641-7077
Practice Address - Street 1:100 FRANDORSON CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2659
Practice Address - Country:US
Practice Address - Phone:813-641-9118
Practice Address - Fax:813-641-7077
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 43189225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist