Provider Demographics
NPI:1992886022
Name:PHILLIPS, CHRIS (ATC, CSCS)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 TARA DR
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:MD
Mailing Address - Zip Code:20754-3004
Mailing Address - Country:US
Mailing Address - Phone:949-690-1277
Mailing Address - Fax:
Practice Address - Street 1:601 F ST NW
Practice Address - Street 2:WASHINGTON CAPITALS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-1605
Practice Address - Country:US
Practice Address - Phone:949-690-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer