Provider Demographics
NPI:1740025592
Name:DONAHOE, CHRISTIN ROSE (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:ROSE
Last Name:DONAHOE
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 1:418 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-0704
Mailing Address - Country:US
Mailing Address - Phone:270-926-8145
Mailing Address - Fax:270-926-8147
Practice Address - Street 1:425B W JENNINGS ST
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-1113
Practice Address - Country:US
Practice Address - Phone:812-518-3246
Practice Address - Fax:812-518-3268
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05015586A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist