Individual provider · Type 1 NPI

Kim Bergh, PTA

Physical Therapy Assistant · Cornell, WI

NPI number 1417296237 Active

Practice location

320 N 7th St
Cornell, WI 54732-8120

Call (715) 239-0440 Map

Fax (715) 239-6608

Mailing address

E8625 595th Ave
Elk Mound, WI 54739-9037

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1724-019 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1417296237

Kim Bergh, PTA's National Provider Identifier is 1417296237, issued on Feb 14, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cornell, WI. The record was last updated on Feb 14, 2013.