Provider Demographics
NPI:1487030805
Name:CHRISTY THERAPY CORP
Entity type:Organization
Organization Name:CHRISTY THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:DIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:785-304-9254
Mailing Address - Street 1:2377 E ELK DRIVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:KS
Mailing Address - Zip Code:67455-5618
Mailing Address - Country:US
Mailing Address - Phone:785-304-9254
Mailing Address - Fax:785-266-7819
Practice Address - Street 1:641 W CLOUD ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5618
Practice Address - Country:US
Practice Address - Phone:785-304-9254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 261QR0400X
KS17-02636261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1487030805OtherNPI
1780028100OtherNPI