Healthcare Provider Details

I. General information

NPI: 1750366159
Provider Name (Legal Business Name): CHRISTY P RANEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E ROOSEVELT BLVD STE 200-A
MONROE NC
28112-5170
US

IV. Provider business mailing address

PO BOX 5002
MONROE NC
28111-5002
US

V. Phone/Fax

Practice location:
  • Phone: 704-289-4595
  • Fax: 704-220-1005
Mailing address:
  • Phone: 704-289-4595
  • Fax: 704-541-6498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: