Chrystal Rae Christopher, PTA

Individual provider Active NPI Physical Therapy Assistant · Moberly, MO

NPI 1104087337 · NPPES record last updated Jun 20, 2008

Key facts

NPI
1104087337
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2006038814 (MO)
Practice address
1346 S Morley
Moberly, MO 65270
Phone
(660) 263-5488
Fax
(660) 263-5750
NPI assigned
Jun 20, 2008
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
2006038814MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2006038814 MO Yes

Addresses

Primary practice location

1346 S Morley
Moberly, MO 65270

Mailing address

1346 S Morley
Moberly, MO 65270
Phone (660) 263-5488

Other providers in Moberly, MO

All providers in Moberly, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.