Provider Demographics
NPI:1366403602
Name:FRANKLIN, CHRISTOPHER DAVID (ATC, AT/L)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:ATC, AT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19752 23RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-8594
Mailing Address - Country:US
Mailing Address - Phone:360-620-7615
Mailing Address - Fax:
Practice Address - Street 1:1780 NE HOSTMARK ST
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7682
Practice Address - Country:US
Practice Address - Phone:360-598-8476
Practice Address - Fax:360-598-8524
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1600473202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA160047320OtherWASHINGTON STATE DEPARTMENT OF HEALTH ATHLETIC TRAINER LICENSE