Provider Demographics
NPI:1487893806
Name:NAGLE, CHRISTINE A (PT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:A
Last Name:NAGLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-2008
Mailing Address - Country:US
Mailing Address - Phone:814-684-5519
Mailing Address - Fax:
Practice Address - Street 1:500 E MARYLYN AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801
Practice Address - Country:US
Practice Address - Phone:814-272-2137
Practice Address - Fax:814-272-2156
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007736L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist