Healthcare Provider Details

I. General information

NPI: 1366367328
Provider Name (Legal Business Name): CELIA CHRISTAKE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 OLD WEST CENTRAL ST
FRANKLIN MA
02038-3051
US

IV. Provider business mailing address

620 OLD WEST CENTRAL ST
FRANKLIN MA
02038-3051
US

V. Phone/Fax

Practice location:
  • Phone: 508-731-8487
  • Fax: 508-528-6304
Mailing address:
  • Phone: 508-731-8487
  • Fax: 508-528-6304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89757
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: