Individual provider · Type 1 NPI

Deborah Iborg, ATC

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1265407332 Active

Practice location

3400 Pershall Rd
St. Louis, MO 63135-1408

Mailing address

14 Chandler Ct
St. Charles, MO 63303-5340

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X00047 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265407332

Deborah Iborg, ATC's National Provider Identifier is 1265407332, issued on Feb 21, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.