Individual
DR. JENNIFER ANNE-LIEBERSBACH BERTOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
630 SUN VALLEY RD. STE D102, KETCHUM, ID 83340
(775) 303-8005
Mailing address
PO BOX 3336, KETCHUM, ID 83340
(775) 303-8005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33042
CA
111N00000X
Chiropractor
Primary
CHIA-1880
ID
111NN1001X
Nutrition Chiropractor
33042
CA
111NP0017X
Pediatric Chiropractor
33042
CA
111NR0400X
Rehabilitation Chiropractor
33042
CA
111NS0005X
Sports Physician Chiropractor
33042
CA
111NX0800X
Orthopedic Chiropractor
33042
CA
Other
Enumeration date
08/19/2015
Last updated
03/11/2024
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