Most Relevant Information
Provider Data
| NPI Number: | 1003358219 |
| Provider Name: | CHRISTIAN RAE NORTH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 007017 |
Most Important Dates
| Enumeration Date: | 11/06/2016 |
| Last Updated: | 01/22/2019 |
Provider Practice Location
4420 DIXIE HWY
SUITE 122
LOUISVILLE
KY
402162988
Practice Location Phone/Fax
| Phone: | 5024472750 |
| Fax: |
Provider Mailing Location
3213 CABINWOOD DR
LOUISVILLE
KY
402202607
Provider Mailing Phone/Fax
| Phone: | 5027247674 |
| Fax: |