MEDICARE: CHRISTENE THANH TEAGUE PT, MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH6578	AL

General Provider Information

NPI Number	:	1265472674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTENE THANH TEAGUE PT, MSPT

Provider Business Mailing Address
First Line	:	203 NARROWS PKWY STE D
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-8649
Country	:	US
Telephone Number	:	205-824-8850
Fax Number	:	205-824-8853

Provider Business Practice Location Address
First Line	:	1310 ALFORD AVE
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-3199
Country	:	US
Telephone Number	:	205-824-8850
Fax Number	:	205-824-8853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	09/15/2025

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