Provider Demographics
NPI:1427459965
Name:AKERS, CHRISTIAN (PTA)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:AKERS
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4713 ROSE OF SHARON LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-2326
Mailing Address - Country:US
Mailing Address - Phone:480-242-9990
Mailing Address - Fax:
Practice Address - Street 1:2425 FOUNTAIN VIEW DR STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4834
Practice Address - Country:US
Practice Address - Phone:713-880-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2018-04-25
Deactivation Date:2017-04-13
Deactivation Code:
Reactivation Date:2018-04-25
Provider Licenses
StateLicense IDTaxonomies
TX2109956225200000X
AZ10837A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant