Provider Demographics
NPI:1528443918
Name:COMRIE, CHRIS (ATC)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:COMRIE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 AUTUMN LEAVES DR
Mailing Address - Street 2:
Mailing Address - City:LAKE SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-6436
Mailing Address - Country:US
Mailing Address - Phone:314-495-5748
Mailing Address - Fax:
Practice Address - Street 1:8 AUTUMN LEAVES DR
Practice Address - Street 2:
Practice Address - City:LAKE SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-6436
Practice Address - Country:US
Practice Address - Phone:314-495-5748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00014642081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000021159OtherNATIONAL ATHLETIC TRAINERS ASSOCIATION BOARD OF CERTIFICATION