Provider Demographics
NPI:1679284061
Name:HURD, CHRISTI (L, ATC)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:HURD
Suffix:
Gender:F
Credentials:L, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 KIMRICK DR
Mailing Address - Street 2:
Mailing Address - City:DEATSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36022-2675
Mailing Address - Country:US
Mailing Address - Phone:334-669-2673
Mailing Address - Fax:
Practice Address - Street 1:5350 VAUGHN RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1153
Practice Address - Country:US
Practice Address - Phone:334-272-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer