Healthcare Provider Details

I. General information

NPI: 1629455712
Provider Name (Legal Business Name): CHRISTI CLUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2015
Last Update Date: 04/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9131 COLLEGE PKWY STE 110
FORT MYERS FL
33919-4827
US

IV. Provider business mailing address

1234 E AIRPORT RD
SAFFORD AZ
85546-9147
US

V. Phone/Fax

Practice location:
  • Phone: 239-433-4080
  • Fax:
Mailing address:
  • Phone: 928-965-4873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: