Provider Demographics
NPI:1982890026
Name:PITZER, CHRISTINA THERESE (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:THERESE
Last Name:PITZER
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 1:1764 MAIDEN LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-2945
Mailing Address - Country:US
Mailing Address - Phone:937-623-8002
Mailing Address - Fax:937-236-8599
Practice Address - Street 1:7069 TAYLORSVILLE RD
Practice Address - Street 2:SUITE E
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3184
Practice Address - Country:US
Practice Address - Phone:937-623-8002
Practice Address - Fax:937-236-8599
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33-006463172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist