Provider Demographics
NPI:1013489038
Name:CHRISTY, BETH ERIN (DPT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ERIN
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 RIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:MARION CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:15759-4325
Mailing Address - Country:US
Mailing Address - Phone:724-541-0817
Mailing Address - Fax:
Practice Address - Street 1:1675 SALTSBURG AVE
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3573
Practice Address - Country:US
Practice Address - Phone:855-840-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021346225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist