Individual
COREY CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
2445 MISSOURI AVE, SUITE A, LAS CRUCES, NM 88001-5111
(575) 523-8080
Mailing address
2445 MISSOURI AVE, SUITE A, LAS CRUCES, NM 88001-5111
(575) 523-8080
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3238
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88286002
—
NM
01
—
NM00Q560
BLUE CROSS BLUE SHIELD
NM
01
—
QMYPR0070685
MOLINA HEALTH PLAN
NM
Enumeration date
08/01/2006
Last updated
06/17/2014
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