Provider Demographics
NPI:1689854358
Name:MCMENAMY, CHRISTINA M (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:MCMENAMY
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 1:269 STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3740
Mailing Address - Country:US
Mailing Address - Phone:508-790-2700
Mailing Address - Fax:508-790-2631
Practice Address - Street 1:269 STEVENS ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3740
Practice Address - Country:US
Practice Address - Phone:508-790-2700
Practice Address - Fax:508-790-2631
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist