| Doctor Name: | KATELYN CHRISTOPHER |
| NPI Number: | 1689041295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 7683 |
| Business Practice Address: | 4394 Route 16 Shipman, IL - 626856062 |
| Business Phone Number: | 6185350188 |
| Business Fax Number: | |
| Mailing Address: | 4394 Route 16, SHIPMAN |
| State: | IL |
| Postal Code: | 62685 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2015 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 7683 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |