Provider Demographics
NPI:1942048129
Name:MORGAN, CHRISTINA
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4954 COUNTY ROAD 2250
Mailing Address - Street 2:
Mailing Address - City:HARTMAN
Mailing Address - State:AR
Mailing Address - Zip Code:72840-9022
Mailing Address - Country:US
Mailing Address - Phone:479-774-3243
Mailing Address - Fax:
Practice Address - Street 1:19 S SHERWOOD PLZ
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-4336
Practice Address - Country:US
Practice Address - Phone:479-774-3243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8987225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist