Healthcare Provider Details

I. General information

NPI: 1992615025
Provider Name (Legal Business Name): CHRISTINA SUE ANTHONY HHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 US HIGHWAY 395 N STE 3C
GARDNERVILLE NV
89410-5282
US

IV. Provider business mailing address

772 HORNET DR
GARDNERVILLE NV
89460-8323
US

V. Phone/Fax

Practice location:
  • Phone: 888-969-5410
  • Fax:
Mailing address:
  • Phone: 949-613-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberNVMT.12461
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: