Christy Debord, PTA
Individual provider Active NPI Physical Therapy Assistant · Chillicothe, IL
NPI 1336330489 · NPPES record last updated Aug 5, 2007
Key facts
- NPI
- 1336330489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 525C S Sweetbriar Dr
Chillicothe, IL 61523-2229 - Phone
- (309) 274-6314
- Fax
- (309) 274-4100
- NPI assigned
- Aug 5, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 160000216 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | IL | Yes |
Addresses
Primary practice location
525C S Sweetbriar Dr
Chillicothe, IL 61523-2229
Mailing address
525C S Sweetbriar Dr
Chillicothe, IL 61523-2229
Phone (309) 274-6314
Other providers in Chillicothe, IL
- Shawna Gaye Colwell
- Michelle Coughlin
- Counseling & Care Management Services, Inc.
- Robert Allan Crothers
- Molly Curless
- Susan M Donoho
- Maureen E Donovan
- Kristin Duffy
- First Community Care, LLC
- Timothy James Freund
All providers in Chillicothe, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.