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

Kristopher Pallesen, PTA

Individual provider Specialist · NPI 1154791572

Kristopher Pallesen, PTA is a Specialist in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5910 Pacific Ave
Stockton, CA 95207-4704
Phone: (209) 475-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 11071 (CA)

Record details

NPI number1154791572
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 28, 2015
Last updated in NPPESSeptember 28, 2015
Mailing address5910 Pacific Ave, Stockton, CA 95207-4704

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