Provider Demographics
NPI:1295260057
Name:ADAMS, CHRISTINE (LMT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ADAMS
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 1:20363 E RD
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-9152
Mailing Address - Country:US
Mailing Address - Phone:970-275-9728
Mailing Address - Fax:970-399-7100
Practice Address - Street 1:20363 E RD
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-9152
Practice Address - Country:US
Practice Address - Phone:970-275-9728
Practice Address - Fax:970-399-7100
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0016078174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist