Provider Demographics
NPI:1285991026
Name:RODRIGUEZ, CHRISTINA CATHERINE (MPT, ATP)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:CATHERINE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MPT, ATP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:CATHERINE
Other - Last Name:DROESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 S STEMMONS FWY STE F
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4563
Mailing Address - Country:US
Mailing Address - Phone:972-428-3737
Mailing Address - Fax:
Practice Address - Street 1:211 S STEMMONS FWY STE F
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4563
Practice Address - Country:US
Practice Address - Phone:214-287-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BC3200X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016925201Medicaid