| Doctor Name: | CHRISTIE SHANTELL, YATES PLYMAL |
| NPI Number: | 1356378632 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT, ATC |
| License Number: | 261QP2000X |
| Business Practice Address: | 1103 Plaza Dr # H Grundy, VA - 246149434 |
| Business Phone Number: | 2769355525 |
| Business Fax Number: | 2769355523 |
| Mailing Address: | 1103 Plaza Dr # H, GRUNDY |
| State: | VA |
| Postal Code: | 246149434 |
| Phone Number: | 2769355525 |
| Fax Number: | 2769355523 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 261QP2000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |