Healthcare Provider Details

I. General information

NPI: 1871215319
Provider Name (Legal Business Name): KRISTINA SKRENEK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NEVIN AVE
RICHMOND CA
94801-3143
US

IV. Provider business mailing address

1164 LINCOLN AVE APT 153
WALNUT CREEK CA
94596-4706
US

V. Phone/Fax

Practice location:
  • Phone: 510-307-1500
  • Fax:
Mailing address:
  • Phone: 925-239-6223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number302666
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: