KATHERINE MARIAH BERGLUND

IDAHO FALLS, ID
NPI1679069595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  AT-776)
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ND  884-20)
Enumeration Date2018-07-03
Last Update Date2022-09-21
Business Address
KATHERINE MARIAH BERGLUND MAT, ATC, LAT
3302 VALENCIA DR
IDAHO FALLS, ID 83404-7058
Phone number: 208-352-2584
Mailing Address
KATHERINE MARIAH BERGLUND MAT, ATC, LAT
3302 VALENCIA DR
IDAHO FALLS, ID 83404-7058
Phone number: 208-352-2584
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