Provider Demographics
NPI:1477573202
Name:RUNNINGS, KRISTA (DPT)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:RUNNINGS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:BELSHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1301 E. BIDWELL STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3565
Mailing Address - Country:US
Mailing Address - Phone:916-983-5915
Mailing Address - Fax:916-983-5906
Practice Address - Street 1:1947 N CALIFORNIA ST
Practice Address - Street 2:B
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-6029
Practice Address - Country:US
Practice Address - Phone:209-464-5771
Practice Address - Fax:209-464-8441
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist