Provider Demographics
NPI:1487239190
Name:WHITE, CHRISTY DAWN (PT, DPT, NCS)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:DAWN
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:DAWN
Other - Last Name:KAISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3920 DUTCHMANS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4702
Mailing Address - Country:US
Mailing Address - Phone:502-259-6608
Mailing Address - Fax:502-259-6605
Practice Address - Street 1:3920 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4702
Practice Address - Country:US
Practice Address - Phone:502-259-6608
Practice Address - Fax:502-259-6605
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0063772251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology