Individual
CHRISTIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 S LOGAN ST, MISHAWAKA, IN 46544-4739
(574) 257-8629
Mailing address
51479 COUNTY ROAD 1, GRANGER, IN 46530-5040
(517) 278-5566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06002635A
IN
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
LICENSE #
MI
Enumeration date
08/30/2006
Last updated
06/15/2026
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