Individual provider · Type 1 NPI

Kristopher Pallesen, PTA

Specialist · Stockton, CA

NPI number 1154791572 Active

Practice location

5910 Pacific Ave
Stockton, CA 95207-4704

Call (209) 475-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X11071 (CA)

Specialist: 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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About NPI 1154791572

Kristopher Pallesen, PTA's National Provider Identifier is 1154791572, issued on Sep 28, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stockton, CA. The record was last updated on Sep 28, 2015.