Provider Demographics
NPI:1427192566
Name:MARGRABE, CHRISTINA SUSAN (PT, ATRIC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SUSAN
Last Name:MARGRABE
Suffix:
Gender:F
Credentials:PT, ATRIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 COUNTY ROAD 349
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-7356
Mailing Address - Country:US
Mailing Address - Phone:573-450-6419
Mailing Address - Fax:573-204-7193
Practice Address - Street 1:1999 COUNTY ROAD 349
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-7356
Practice Address - Country:US
Practice Address - Phone:573-450-6419
Practice Address - Fax:573-204-7193
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist