Individual
KATHLEEN MARIE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MS, CSCS, FAFS
Contact information
Practice address
3858 N GARDEN CENTER WAY, SUITE 102, BOISE, ID 83703
(208) 830-1668
(208) 620-3968
Mailing address
3858 N GARDEN CENTER WAY, SUITE 102, BOISE, ID 83703-5008
(208) 830-1668
(208) 620-3968
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2717
ID
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/27/2010
Last updated
06/05/2014
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