NPI 1023659208

Amy Marie Bergan, ATC

Practitioner Athletic Trainer Tampa, FL

Practice location

Address: 4202 E Fowler Ave Stop Ath100, Tampa, FL 33620-8455
Phone: (406) 438-6395

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL3942 (FL)

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Registry record

NPI: 1023659208
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2019
Record last updated: 30 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.