Provider Demographics
NPI:1215089081
Name:SPENCER, CHRISTINA E (RPT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:E
Last Name:SPENCER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:E
Other - Last Name:OWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:725 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4241
Mailing Address - Country:US
Mailing Address - Phone:785-515-0580
Mailing Address - Fax:
Practice Address - Street 1:725 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-4241
Practice Address - Country:US
Practice Address - Phone:785-515-0580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-3095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11-03095OtherKANSAS PHYSICAL THERAPY