Whalio Doctors

NPI 1679069595

Katherine Mariah Berglund, MATATCLAT

Practitioner Athletic Trainer Idaho Falls, ID

Practice location

Address
3302 Valencia Dr, Idaho Falls, ID 83404-7058
Phone
(208) 352-2584

Registered specialties (3)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-776 (ID)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 884-20 (ND)

Registry record

NPI
1679069595
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Jul 2018
Record last updated
21 Sep 2022

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.