Healthcare Provider Details

I. General information

NPI: 1811980493
Provider Name (Legal Business Name): CHRISTINA COSH DAVIS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA COSH DAVIS DC

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 PINE ST
REDDING CA
96001-1919
US

IV. Provider business mailing address

2007 PINE ST
REDDING CA
96001-1919
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-1185
  • Fax: 530-244-1186
Mailing address:
  • Phone: 530-244-1185
  • Fax: 530-244-1186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040494
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9661334
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25681
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95387099
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: