Provider Demographics
NPI:1174352355
Name:YANCEY, CHRISTENE (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTENE
Middle Name:
Last Name:YANCEY
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 1:7738 COTTONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4759
Mailing Address - Country:US
Mailing Address - Phone:434-548-9144
Mailing Address - Fax:
Practice Address - Street 1:7738 COTTONTOWN RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4759
Practice Address - Country:US
Practice Address - Phone:434-548-9144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215972225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist