Provider Demographics
NPI:1871707620
Name:NEPHEW, CHRISTOPHER ROBERT (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:NEPHEW
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13106 SE 240TH ST
Mailing Address - Street 2:SUITE, 10
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-9210
Mailing Address - Country:US
Mailing Address - Phone:956-206-1057
Mailing Address - Fax:
Practice Address - Street 1:13106 SE 240TH ST
Practice Address - Street 2:SUITE, 10
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-9210
Practice Address - Country:US
Practice Address - Phone:956-206-1057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145852225100000X
WAPT 60111917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist