Provider Demographics
NPI:1932870532
Name:WELMAKER, CHRISTINA (MS, SCAT, ATC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WELMAKER
Suffix:
Gender:F
Credentials:MS, SCAT, ATC
Other - Prefix:
Other - First Name:CHRISSY
Other - Middle Name:
Other - Last Name:WELMAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:160 FAIRFOREST WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-4607
Mailing Address - Country:US
Mailing Address - Phone:864-665-3869
Mailing Address - Fax:
Practice Address - Street 1:160 FAIRFOREST WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-4607
Practice Address - Country:US
Practice Address - Phone:864-665-3869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAT0033842255A2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer