Individual provider · Type 1 NPI
Jennifer Anne-Liebersbach Bertovich, DC
Chiropractor · Ketchum, ID
NPI number
1669848180
Active
Practice location
630 Sun Valley Rd. Ste D102
Ketchum, ID 83340
Mailing address
PO Box 3336
Ketchum, ID 83340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1880 (ID) |
| Nutrition Chiropractor | 111NN1001X | 33042 (CA) |
| Pediatric Chiropractor | 111NP0017X | 33042 (CA) |
| Rehabilitation Chiropractor | 111NR0400X | 33042 (CA) |
| Sports Physician Chiropractor | 111NS0005X | 33042 (CA) |
| Orthopedic Chiropractor | 111NX0800X | 33042 (CA) |
| Chiropractor | 111N00000X | 33042 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Other chiropractor providers in Ketchum
About NPI 1669848180
Jennifer Anne-Liebersbach Bertovich, DC's National Provider Identifier is 1669848180, issued on Aug 19, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ketchum, ID. The record was last updated on Mar 11, 2024.