Individual
CHRISTEEN MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N MAI N ST, GIDDINGS, TX 78942
(979) 542-1700
Mailing address
102 NORTH ST, COLUMBUS, TX 78934-1562
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2070520
TX
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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