Provider Demographics
NPI:1558421156
Name:MCECHRON-HILLS, CHRISTINE A (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:MCECHRON-HILLS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:A
Other - Last Name:MCECHRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DR OF PT
Mailing Address - Street 1:17134 BEL RAY PL
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-5331
Mailing Address - Country:US
Mailing Address - Phone:816-226-4011
Mailing Address - Fax:816-524-6115
Practice Address - Street 1:13035 KANSAS AVE
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-9206
Practice Address - Country:US
Practice Address - Phone:913-721-4362
Practice Address - Fax:913-815-4068
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007006888225100000X
KS11-03904225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA2868001OtherMEDICARE PTAN
37881041OtherBCBS-KC
MOK86F154BMedicare PIN