MEDICARE: CHRISTY MARKER PT

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	2002005850	MO

General Provider Information

NPI Number	:	1336417815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY MARKER PT

Provider Business Mailing Address
First Line	:	2118 BRADFORD PL
Second Line	:
City	:	EXCELSIOR SPRINGS
State	:	MO
Zip	:	64024-1679
Country	:	US
Telephone Number	:	816-630-0401
Fax Number	:

Provider Business Practice Location Address
First Line	:	2118 BRADFORD PL
Second Line	:
City	:	EXCELSIOR SPRINGS
State	:	MO
Zip	:	64024-1679
Country	:	US
Telephone Number	:	816-630-0401
Fax Number	:

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

Provider Enumeration Date	:	12/12/2011
Last Update Date	:	12/12/2011

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Directions to “ CHRISTY MARKER PT” Practice Location

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