DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA LEWALLEN, ATC

Active Sole Proprietor

CARISSA LEWALLEN, ATC is a Athletic Trainer healthcare provider located in ONTARIO, California. NPI 1144884677 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ONTARIO, CA

Registration Details

NPI Number
1144884677
Provider Type
Individual
Gender
Female
NPI Issued
Apr 30, 2019 (7.2834066682504 yrs)
Last Updated
Apr 30, 2019
Sole Proprietor
Yes

Practice Information

Address
614 E J ST
ONTARIO, CA, 917642820
Browse CA providers · Browse ZIP 91764
Phone
9095766427
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ONTARIO, CA

Name Credential NPI
MR. JERRY EDWARD CAVENDER II ATC 1003871666
AMBER MARIE MCKEE ATC 1841794351
MARIA VERONICA HEARD MS 1063917458
JANNA RAYTON 1174099089
KYAUNA SIU-SHU SOUTHAM MAT, ATC 1083247621
DANIEL BELVARIAN BUNHARDI ATC 1992577522
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.