Provider Demographics
NPI:1629289202
Name:SCHWEERS, KRISTA JANELLE (ATC)
Entity Type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:JANELLE
Last Name:SCHWEERS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7562 ELLIS AVE
Mailing Address - Street 2:APT. F11
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1666
Mailing Address - Country:US
Mailing Address - Phone:714-296-3488
Mailing Address - Fax:
Practice Address - Street 1:6851 LAMPSON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-2211
Practice Address - Country:US
Practice Address - Phone:714-296-3488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0905020122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer