Individual
KRISTA CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 262-4650
Mailing address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1700
(717) 816-0256
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012350
PA
2255A2300X
Athletic Trainer
0126002538
VA
2255A2300X
Athletic Trainer
2000020272
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126002538
ATHLETIC TRAINING LICENSE
VA
01
—
RT006184
ATHLETIC TRAINING LICENSE
PA
01
—
TE012350
PTA LICENSE
PA
Enumeration date
06/02/2015
Last updated
01/02/2020
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