Provider Demographics
NPI:1184509705
Name:MADAGMIT, CHRISTELLE
Entity type:Individual
Prefix:
First Name:CHRISTELLE
Middle Name:
Last Name:MADAGMIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 SMITH DR
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:ME
Mailing Address - Zip Code:04847-3000
Mailing Address - Country:US
Mailing Address - Phone:207-230-4089
Mailing Address - Fax:
Practice Address - Street 1:95 SMITH DR
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:ME
Practice Address - Zip Code:04847-3000
Practice Address - Country:US
Practice Address - Phone:207-230-4089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6375225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist