Christine Antonia Shadie
Physical Therapist
711 Avignon Dr
Ridgeland
, Mississippi 39157-5120
Christine Antonia Shadie
Physical Therapist
711 Avignon Dr
Ridgeland
, Mississippi 39157-5120
(601) 605-8869
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Christine Antonia Shadie
- 711 Avignon Dr
- Ridgeland, MS
- Zip : 39157-5120
- Fax : (601) 605-8869
- Phone : (601) 605-6777
Second Address
- Christine Antonia Shadie
- 711 Avignon Dr
- Ridgeland, MS
- Zip : 39157-5120
- Fax : (601) 605-8869
- Phone : (601) 605-6777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT2328 | MS |
National Provider Identifier
| NPI | 1003084666 |
|---|---|
| Provider Name | Christine Antonia Shadie |
| First Address | Ridgeland, MS 39157-5120 |
| Second Address | Ridgeland, MS 39157-5120 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2008 |
| Last Update Date | 18/02/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.