Provider Demographics
NPI:1356573554
Name:RAUB, KRISTIN (MA, ATC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:RAUB
Suffix:
Gender:F
Credentials:MA, ATC
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:BARQUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, ATC
Mailing Address - Street 1:26301 VIA ESCOLAR
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3953
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26301 VIA ESCOLAR
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3953
Practice Address - Country:US
Practice Address - Phone:949-364-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer