Provider Demographics
NPI:1356357719
Name:MURCHISON, CHRISTIE MCKEAN (PT)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:MCKEAN
Last Name:MURCHISON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CHRISTINE
Other - Last Name:MURCHISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1908 FLINT RD SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6031
Mailing Address - Country:US
Mailing Address - Phone:256-340-9708
Mailing Address - Fax:256-340-9624
Practice Address - Street 1:901 SOMERBY DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3490
Practice Address - Country:US
Practice Address - Phone:251-633-4447
Practice Address - Fax:251-633-4141
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4128225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529917620Medicaid
ALCK8719OtherMEDICARE RAILROAD GROUP
AL1003819608OtherGROUP NPI
AL529917620Medicaid