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NPI Code Detail

MEDICARE: CHRISTA TEER PTA

MEDICARE: CHRISTA TEER PTA
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
1225200000XPhysical Therapy Assistant2135981TX

General Provider Information

NPI Number : 1558825059
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTA TEER PTA
Provider Business Mailing Address
First Line : 1249 MAIN ST APT 103
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-3860
Country : US
Telephone Number : 903-348-1703
Fax Number :
Provider Business Practice Location Address
First Line : 210 PIPELINE RD
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-2131
Country : US
Telephone Number : 903-885-3589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 01/29/2019

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Directions to “ CHRISTA TEER PTA” Practice Location

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