Doctor Name: | MRS. CHRISTY MARIE FERNOW |
NPI Number: | 1184732075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 2004033967 |
Business Practice Address: | 1506 W. St. Joesph St Perryville, MO - 63775 |
Business Phone Number: | 5735177900 |
Business Fax Number: | 5735177969 |
Mailing Address: | 1506 W. St. Joesph St., PERRYVILLE |
State: | MO |
Postal Code: | 63775 |
Phone Number: | 5735177900 |
Fax Number: | 5735177969 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2004033967 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |