Healthcare Provider Details

I. General information

NPI: 1174449870
Provider Name (Legal Business Name): CHRISTINE ASADOURIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 LIBERTY WAY
VIRGINIA BEACH VA
23456-3466
US

IV. Provider business mailing address

4260 KENTON LN
VIRGINIA BEACH VA
23456-1661
US

V. Phone/Fax

Practice location:
  • Phone: 757-613-3293
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019018366
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: