Individual
CHASE RYAN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-8511
Mailing address
3922 N MALAGA DR, LA PORTE, IN 46350-7231
(219) 325-0178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007721
KY
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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