Individual
SYDNEY SHEA VON BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
512 PATTEE CANYON DR, MISSOULA, MT 59803-1621
(406) 366-5984
Mailing address
512 PATTEE CANYON DR, MISSOULA, MT 59803-1621
(406) 366-5984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
MT
Enumeration date
06/27/2025
Last updated
06/27/2025
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