Provider Demographics
NPI:1982710067
Name:MACDONALD-CHRISTIE, PATT (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:PATT
Middle Name:
Last Name:MACDONALD-CHRISTIE
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:MACDONALD-CHRISTIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MASSAGE THERAPIST
Mailing Address - Street 1:6117 MCLEOD RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2640
Mailing Address - Country:US
Mailing Address - Phone:505-883-7730
Mailing Address - Fax:
Practice Address - Street 1:6117 MCLEOD RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2640
Practice Address - Country:US
Practice Address - Phone:505-883-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM595225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist