Provider Demographics
NPI:1497509624
Name:MCCOMBS, CHRISTOPHER T
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:T
Last Name:MCCOMBS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MICHAEL BLAKE BLVD APT 207
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6551
Mailing Address - Country:US
Mailing Address - Phone:321-747-3233
Mailing Address - Fax:
Practice Address - Street 1:101 MICHAEL BLAKE BLVD APT 207
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6551
Practice Address - Country:US
Practice Address - Phone:321-747-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program