Provider Demographics
NPI:1912237231
Name:SCHELIN, KARSTI ANNA (MPT)
Entity type:Individual
Prefix:
First Name:KARSTI
Middle Name:ANNA
Last Name:SCHELIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 E RANSOM ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3039
Mailing Address - Country:US
Mailing Address - Phone:949-842-1270
Mailing Address - Fax:562-597-1820
Practice Address - Street 1:4145 E RANSOM ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3039
Practice Address - Country:US
Practice Address - Phone:949-842-1270
Practice Address - Fax:562-597-1820
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA266702251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA26770OtherPRIVATE