Provider Demographics
NPI:1881868966
Name:MCGRAW, CHRISTI (PT)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:
Other - Last Name:TRIMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4201 WELLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-4948
Mailing Address - Country:US
Mailing Address - Phone:903-455-5753
Mailing Address - Fax:903-455-7548
Practice Address - Street 1:4201 WELLINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-4948
Practice Address - Country:US
Practice Address - Phone:903-455-5753
Practice Address - Fax:903-455-7548
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1129088225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00J629OtherMEDICARE GROUP