Provider Demographics
NPI:1982262911
Name:CARLTON, CRISTIN (LMT)
Entity type:Individual
Prefix:
First Name:CRISTIN
Middle Name:
Last Name:CARLTON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:CRISTIN
Other - Middle Name:
Other - Last Name:COTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:220 LANGNES CT
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3367
Mailing Address - Country:US
Mailing Address - Phone:907-903-2677
Mailing Address - Fax:
Practice Address - Street 1:3730 RHONE CIR STE 101
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5054
Practice Address - Country:US
Practice Address - Phone:907-561-5152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist