Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CRISTA ANN JARDINE, PTA
Active Sole ProprietorMRS. CRISTA ANN JARDINE, PTA is a Contractor healthcare provider located in AMMON, Idaho. NPI 1215270053 is currently active in the NPPES registry. Verify at CMS.
Contractor · AMMON, ID
Registration Details
- NPI Number
- 1215270053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2013 (13.376099469994 yrs)
- Last Updated
- Mar 29, 2013
- License
-
PTA-110 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2499 FIELDSTONE DRAMMON, ID, 834015854Browse ID providers · Browse ZIP 83401
- Phone
- 2086816677
- Fax
- 2082098574
- Primary Specialty
-
Contractor
171W00000X
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.