CHRISTINE BOLTHOUSE


Address: 1858 Lucerne Ave, Stockton, CA 95203-1440
Phone: 2094827348

CHRISTINE BOLTHOUSE (NPI# 1245782622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245782622
Entity Type Individual
Full Name CHRISTINE BOLTHOUSE
Practice Address 1858 Lucerne Ave
Stockton
CA 95203-1440
Practice Telephone 2094827348
Mailing Telephone 2094827348
Enumeration Date 2016-11-01
Last Update Date 2016-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1858 LUCERNE AVE
City STOCKTON
State CA
Zip Code 95203-1440

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1285011064 Brian Andrew Reuter Emergency Medicine Dameron Hospital, 525 Acacia St, Stockton, CA 95203 2015-04-30
1548209240 Aaron James Simko Pediatrics 525 Acacia Street, Neonatal Department, Stockton, CA 95203 2006-06-06
1881057461 El Concilio Case Management 445 N San Joaquin St, Stockton, CA 95203 2016-04-01
1619350634 Sudha Vani Saduvala Internal Medicine 525 W Acacia St, Stockton, CA 95203 2015-07-08
1740621671 Syed Salman Ali Internal Medicine 525 W Acacia St, Stockton, CA 95203 2013-07-08
1417021726 Sahir Naseer Emergency Medicine 525 W Acacia St, Stockton, CA 95203 2006-11-20
1104312800 Melissa Delossantos Behavioral Analyst 2180 Lucerne Ave, Stockton, CA 95203-1257 2018-07-05
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720600133 Kayla Racquel Clarin Specialist/Technologist 6232 N Pershing Ave Apt 66, Stockton, CA 95207-4167 2020-05-08
1528607934 Bryan Erspamer Specialist/Technologist 248 W Fremont St, Stockton, CA 95203-2800 2020-01-02
1306304795 Jessie Sotelo Specialist/Technologist 1913 S San Joaquin St, Stockton, CA 95206-2739 2019-03-05
1659849800 Janet Lenore Guill Specialist/Technologist 2015 Carlton Ave, Stockton, CA 95204-4814 2018-11-06
1053809368 Teralyn Dodds Specialist/Technologist 5648 N El Dorado St, Stockton, CA 95207-4459 2018-04-23
1992235709 Steven Anthony Flores Specialist/Technologist 800 W Eight Mile Rd, Stockton, CA 95209-9503 2017-06-14
1801322482 Sarah Nichole January Specialist/Technologist 2821 Marietta Ct, Stockton, CA 95207-2306 2017-05-02
1487102307 Carlee Lindsey Specialist/Technologist 1025 J Rd, Stockton, KS 67669-8827 2016-09-20
1275927238 Ernest Anthony Delosangeles Jr. Specialist/Technologist 2220 N San Jose St, Stockton, CA 95204-5037 2015-03-26
1508194366 Kevin Anderson Specialist/Technologist 5151 Pacific Ave, Stockton, CA 95207-6370 2009-12-05
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Competitor

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City STOCKTON
Zip Code 95203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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