Provider Demographics
NPI:1669679213
Name:MILLS, CHRISTI EVANS (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:EVANS
Last Name:MILLS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:694 GREENVIEW TRL NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-8761
Mailing Address - Country:US
Mailing Address - Phone:601-833-0034
Mailing Address - Fax:601-835-0845
Practice Address - Street 1:507 HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-2334
Practice Address - Country:US
Practice Address - Phone:601-835-0842
Practice Address - Fax:601-835-0845
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT0709225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist