Provider Demographics
NPI:1952753212
Name:WELLNER, CHRISTINA (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:WELLNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:CIOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7320 BACKLICK RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-3105
Mailing Address - Country:US
Mailing Address - Phone:757-416-4814
Mailing Address - Fax:
Practice Address - Street 1:8346 TRAFORD LN STE B106
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1665
Practice Address - Country:US
Practice Address - Phone:703-563-2128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557351111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor