Provider Demographics
NPI:1316176399
Name:SABO, KRISTA M (PT)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:M
Last Name:SABO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11006 BRIMHALL RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-3026
Mailing Address - Country:US
Mailing Address - Phone:661-706-0180
Mailing Address - Fax:661-215-6622
Practice Address - Street 1:11006 BRIMHALL RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-3026
Practice Address - Country:US
Practice Address - Phone:661-706-0180
Practice Address - Fax:661-215-6622
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA25135OtherSTATE LICENSE
CA25135OtherSTATE LICENSE