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NPI Code Detail

MEDICARE: CHRISTOPHER ROBERT NEPHEW PT, DPT

MEDICARE:   CHRISTOPHER ROBERT NEPHEW  PT, DPT
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
1225100000XPhysical Therapist1145852TX
2225100000XPhysical TherapistPT 60111917WA

General Provider Information

NPI Number : 1871707620
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ROBERT NEPHEW PT, DPT
Provider Business Mailing Address
First Line : 13106 SE 240TH ST
Second Line : SUITE, 10
City : KENT
State : WA
Zip : 98031-9210
Country : US
Telephone Number : 956-206-1057
Fax Number :
Provider Business Practice Location Address
First Line : 13106 SE 240TH ST
Second Line : SUITE, 10
City : KENT
State : WA
Zip : 98031-9210
Country : US
Telephone Number : 956-206-1057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 03/08/2010

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Directions to “ CHRISTOPHER ROBERT NEPHEW PT, DPT” Practice Location

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