MS. KRISTY ILLG, PT, ATC
Physical Therapist
Active
Individual
NPI: 1346254182
Practice Address
UC BERKELEY ATHLETICS - 2227 PIEDMONT AVESUITE 150 SPORTS MEDICINE
Berkeley, CA 94720
Phone: (510) 642-4878
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | - |
| Physical Therapist | 225100000X | Yes | PT28806 (CA) |
Frequently Asked Questions
NPI 1346254182 is the National Provider Identifier for MS. KRISTY ILLG, PT, ATC, a Physical Therapist provider located in Berkeley, CA. This NPI was enumerated on July 28, 2006.
MS. KRISTY ILLG, PT, ATC practices at UC BERKELEY ATHLETICS - 2227 PIEDMONT AVE, SUITE 150 SPORTS MEDICINE, Berkeley, CA 94720.
Quick Facts
- NPI
- 1346254182
- Type
- Individual
- Enumerated
- Jul 28, 2006
- Last Updated
- Jan 27, 2025
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