Healthcare Provider Details

I. General information

NPI: 1346077435
Provider Name (Legal Business Name): CHRISTOPHER ESCOBEDO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 THOMPSON ST STE B
HENDERSONVILLE NC
28792-2895
US

IV. Provider business mailing address

9 LAMAR AVE
ASHEVILLE NC
28803-8608
US

V. Phone/Fax

Practice location:
  • Phone: 828-698-6774
  • Fax:
Mailing address:
  • Phone: 828-335-5862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP22320
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: