Whalio Doctors

NPI 1003084666

Christine Antonia Shadie, PT

Practitioner Physical Therapist Ridgeland, MS

Practice location

Address
711 Avignon Dr, Ridgeland, MS 39157-5120
Phone
(601) 605-6777
Fax
(601) 605-8869

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT2328 (MS)

Registry record

NPI
1003084666
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Feb 2008
Record last updated
18 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.