Individual
CHRISTIE SHANTELL, YATES PLYMAL
Active
Individual
CHRISTIE SHANTELL, YATES PLYMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203672
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010093023
—
VA
05
—
3810000838
—
WV
Enumeration date
06/26/2006
Last updated
12/02/2025
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