Individual
CHRISTINA JEAN BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
(270) 821-1813
Mailing address
29 FULLER LN, MADISONVILLE, KY 42431-6701
(270) 724-3000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02515
KY
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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