Provider Demographics
NPI:1699084368
Name:ASHBROOK, CHRISTINA M (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:ASHBROOK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:M
Other - Last Name:BAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:241 N WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3751
Mailing Address - Country:US
Mailing Address - Phone:316-200-1474
Mailing Address - Fax:
Practice Address - Street 1:10000 W 75TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2209
Practice Address - Country:US
Practice Address - Phone:913-894-1910
Practice Address - Fax:913-894-1174
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-04194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist