KRISTOPHER PALLESEN PTA
NPI 1154791572
Specialist in Stockton, CA
- Individual
- Male
- Specialist
About KRISTOPHER PALLESEN
This page provides the complete NPI Profile along with additional information for Kristopher Pallesen, a provider established in Stockton, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1154791572 assigned on September 2015. The practitioner's primary taxonomy code is 174400000X with license number 11071 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1154791572 Verify this NPI
- Provider Name
- KRISTOPHER PALLESEN PTA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5910 PACIFIC AVE STOCKTON, CA 95207
- Location Phone
- (209) 475-1000
- Mailing Address
- 5910 PACIFIC AVE STOCKTON, CA 95207
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-28-2015
- Last Update Date
- 09-28-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 11071
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
STOCKTON, CA 95207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154791572, enumerated as an "individual" on September 28, 2015.
The provider is located at 5910 PACIFIC AVE STOCKTON, CA 95207 and the phone number is (209) 475-1000.
Specialist with taxonomy code 174400000X.
