Provider Demographics
NPI:1740620491
Name:SAPP, KRISTA BADER (DC, MPH)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:BADER
Last Name:SAPP
Suffix:
Gender:F
Credentials:DC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 CARRIAGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-8306
Mailing Address - Country:US
Mailing Address - Phone:330-892-8344
Mailing Address - Fax:
Practice Address - Street 1:146 CARRIAGE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-8306
Practice Address - Country:US
Practice Address - Phone:330-892-8344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10930111N00000X
OH4455111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor