Provider Demographics
NPI:1215406210
Name:KARLESKINT, EMILY KINGSTON (LAT, ATC, PES)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KINGSTON
Last Name:KARLESKINT
Suffix:
Gender:F
Credentials:LAT, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7492 AHERN CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-2218
Mailing Address - Country:US
Mailing Address - Phone:573-837-0119
Mailing Address - Fax:
Practice Address - Street 1:7492 AHERN CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-2218
Practice Address - Country:US
Practice Address - Phone:573-837-0119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20160377962255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer