Individual
DEBRA CRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1086056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200743030A
—
OK
05
—
378336701
—
TX
05
—
378336702
—
TX
05
—
78155363
—
NM
Enumeration date
07/14/2017
Last updated
03/05/2018
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