Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN M KREISWIRTH, MA, ATC
ActiveMR. ETHAN M KREISWIRTH, MA, ATC is a Specialist healthcare provider located in CARSON, California. NPI 1336249978 is currently active in the NPPES registry. Verify at CMS.
Specialist · CARSON, CA
Registration Details
- NPI Number
- 1336249978
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2006 (19.875412583847 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
CAL STATE DOMINGUEZ HLS1000 E. VICTORIA ST.CARSON, CA, 907470001Browse CA providers · Browse ZIP 90747
- Phone
- 3102433894
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in CARSON, CA
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY PATRICK MCGUIRE | ATC | 1265530406 |
| JACQUELINE MERTON | OTR/L | 1861841108 |
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.