MEDICARE: CHRISTINE ELLEN HURD 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	PT-008978-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093794232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ELLEN HURD PT

Provider Business Mailing Address
First Line	:	PO BOX 858
Second Line	:	MC A410
City	:	HERSHEY
State	:	PA
Zip	:	17033-0858
Country	:	US
Telephone Number	:	800-243-1455
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 HOSPITAL AVE
Second Line	:	SUITE 112
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-6706
Country	:	US
Telephone Number	:	814-865-3566
Fax Number	:	814-235-4780

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

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	07/30/2025

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