Individual
CHRISTOPHER STAN RAFACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1700 W MARKET ST STE F&G, BOLIVAR, TN 38008-1653
(731) 658-2206
(731) 659-2061
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05013856A
IN
225100000X
Physical Therapist
Primary
14096
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
08/19/2020
Last updated
03/29/2022
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