Provider Demographics
NPI:1306085634
Name:MARKHAM, CHRISTOPHER SCOTT (LPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:MARKHAM
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 CORDOVA RD
Mailing Address - Street 2:STE 107
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0521
Mailing Address - Country:US
Mailing Address - Phone:662-890-3382
Mailing Address - Fax:662-890-3385
Practice Address - Street 1:7501 GOODMAN RD STE I
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-1952
Practice Address - Country:US
Practice Address - Phone:662-890-3382
Practice Address - Fax:662-890-3385
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist