Doctor Name: | CHRISTINA OLSON |
NPI Number: | 1134541170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 022261 |
Business Practice Address: | 989 Kenmore Ave Kenmore, NY - 142172924 |
Business Phone Number: | 7168772728 |
Business Fax Number: | 7168772733 |
Mailing Address: | 30 Crawford Dr, WEST SENECA |
State: | NY |
Postal Code: | 142063409 |
Phone Number: | 7164407087 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2014 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 022261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |