Provider Demographics
NPI:1548524713
Name:JONES, CHRISTIE B (LMT)
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:B
Last Name:JONES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:10708 BALLANTRAYE DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4701
Mailing Address - Country:US
Mailing Address - Phone:540-693-1401
Mailing Address - Fax:540-693-1389
Practice Address - Street 1:10708 BALLANTRAYE DR
Practice Address - Street 2:SUITE 206
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4701
Practice Address - Country:US
Practice Address - Phone:540-693-1401
Practice Address - Fax:540-693-1389
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0019008385225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist