Berglund, Katherine Mariah
Berglund, Katherine Mariah is an individual health care provider with primary practice located at 3302 Valencia Dr , Idaho Falls ID 83404-7058. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Berglund, Katherine Mariah can be contacted via phone (208) 352-2584.Contact Information
Primary practice address
3302 Valencia Dr
Idaho Falls ID 83404-7058
Phone: (208) 352-2584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 884-20 | North Dakota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-776 | Idaho |
Profile Details
| NPI number | 1679069595 |
|---|---|
| LBN Legal business name | Berglund, Katherine Mariah |
| Credentials | MAT, ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2018 |
| Last updated | Sep 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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