Healthcare Provider Details

I. General information

NPI: 1851011415
Provider Name (Legal Business Name): CHRISTEN N OWENBEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. CHRISTEN NICOLE OWENBEY

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 BREVARD RD
ASHEVILLE NC
28806-2945
US

IV. Provider business mailing address

12 MOORES CREEK LN
CANDLER NC
28715-0089
US

V. Phone/Fax

Practice location:
  • Phone: 828-253-4437
  • Fax:
Mailing address:
  • Phone: 828-772-6870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA6105
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: