Provider Demographics
NPI:1154141489
Name:DEVERS, CHRISTINA ZAZZARETTI (LMT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ZAZZARETTI
Last Name:DEVERS
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 1:1906 JAMES OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2852
Mailing Address - Country:US
Mailing Address - Phone:804-720-1919
Mailing Address - Fax:
Practice Address - Street 1:5700 OLD RICHMOND AVE STE A4
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1828
Practice Address - Country:US
Practice Address - Phone:804-666-8850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019019974225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist