Provider Demographics
NPI:1235659954
Name:DODIER, CHRISTINE M (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:DODIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 RACETRACK RD NW
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-3831
Mailing Address - Country:US
Mailing Address - Phone:850-362-6767
Mailing Address - Fax:
Practice Address - Street 1:212 RACETRACK RD NW
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-3831
Practice Address - Country:US
Practice Address - Phone:850-362-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8401111N00000X
FLCH12177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor