Provider Demographics
NPI:1982618054
Name:HALL, CHRISTOPHER PAUL (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:HALL
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4916 PRESTWICK DR
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-4867
Mailing Address - Country:US
Mailing Address - Phone:817-684-0409
Mailing Address - Fax:
Practice Address - Street 1:2900 STADIUM DRIVE- DANIEL MEYER COLISEUM
Practice Address - Street 2:TCU SPORTS MEDICINE
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76129-0001
Practice Address - Country:US
Practice Address - Phone:817-257-5399
Practice Address - Fax:817-257-6640
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT07762255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAT0776OtherDEPARTMENT OF HEALTH- LAT
TX811995OtherNATA