Christina Lynn Breeding, PTA

Individual provider Active NPI Physical Therapy Assistant · Williamsburg, KY

NPI 1003045907 · NPPES record last updated Jul 13, 2009

Key facts

NPI
1003045907
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A02323 (KY)
Practice address
475 N Highway 25 W
Suite 200
Williamsburg, KY 40769-1576
Phone
(606) 549-4495
Fax
(606) 549-4909
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A02323KYMDPhysical Therapy Assistant

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24026/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A02323 KY Yes

Addresses

Primary practice location

475 N Highway 25 W
Suite 200
Williamsburg, KY 40769-1576

Mailing address

383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2900

Other providers in Williamsburg, KY

All providers in Williamsburg, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.