Individual
CHRISTOPHER HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
733 THIMBLE SHOALS BLVD STE 170, NEWPORT NEWS, VA 23606-4260
(757) 324-0249
Mailing address
PO BOX 1298, ALEXANDER CITY, AL 35011-1298
(808) 321-8299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0019017949
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019017949
—
VA
Enumeration date
12/22/2020
Last updated
11/16/2022
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