Healthcare Provider Details

I. General information

NPI: 1093794232
Provider Name (Legal Business Name): CHRISTINE ELLEN HURD PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE E KLASE

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 07/30/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 HOSPITAL AVE SUITE 112
STATE COLLEGE PA
16803-6706
US

IV. Provider business mailing address

PO BOX 858 MC A410
HERSHEY PA
17033-0858
US

V. Phone/Fax

Practice location:
  • Phone: 814-865-3566
  • Fax: 814-235-4780
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-008978-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: