MEDICARE: CHRISTINE S MCDEVITT LMT

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	225700000X	Massage Therapist	33.006766	OH

General Provider Information

NPI Number	:	1538561980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE S MCDEVITT LMT

Provider Business Mailing Address
First Line	:	1310 E COOKE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2060
Country	:	US
Telephone Number	:	614-261-6464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3474 N HIGH ST STE D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-4056
Country	:	US
Telephone Number	:	614-261-6464
Fax Number	:

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

Provider Enumeration Date	:	09/17/2014
Last Update Date	:	09/17/2014

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