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General NPI Number Information
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NPI Number | 1932313111
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Entity Type | Individual
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Provider Name | CHRISTY LYNN DRAPER P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 4430 CRAWFORD AVE
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City | LOUISVILLE
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State | KY
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Zip | 40258-3706
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Country | US
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Telephone | 502-995-2705
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Fax |
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Provider Business Mailing Address
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Address Line | 7501 GESWEIN RD
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City | LANESVILLE
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State | IN
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Zip | 47136-9521
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Country | US
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Telephone | 586-322-4126
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP034946T
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License Number State | KY
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