Provider Demographics
NPI:1639355878
Name:CHRISTIE, ANITA (ATC, RN)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:ATC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 S WATER ST
Mailing Address - Street 2:SPORTS MED. ATHLETIC TRAINING SERVICES
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2307
Mailing Address - Country:US
Mailing Address - Phone:412-432-3770
Mailing Address - Fax:412-432-3774
Practice Address - Street 1:2005 EAGLE RIDGE DR
Practice Address - Street 2:SOUTH PARK HIGH SCHOOL
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-9289
Practice Address - Country:US
Practice Address - Phone:412-655-4900
Practice Address - Fax:412-655-4505
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001224A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer