Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carissa Lewallen, ATC

Individual provider Athletic Trainer · NPI 1144884677

Carissa Lewallen, ATC is an Athletic Trainer in Ontario, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

614 E J St
Ontario, CA 91764-2820
Phone: (909) 576-6427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1144884677
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 30, 2019
Last updated in NPPESApril 30, 2019

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