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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KRISTY L ILLG, PT, ATC

Active Sole Proprietor

MS. KRISTY L ILLG, PT, ATC is a Physical Therapy Assistant healthcare provider located in BERKELEY, California. NPI 1346254182 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BERKELEY, CA

Registration Details

NPI Number
1346254182
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2006 (19.862630024939 yrs)
Last Updated
Jan 27, 2025
License
PT28806 (CA)
Sole Proprietor
Yes

Practice Information

Address
UC BERKELEY ATHLETICS - 2227 PIEDMONT AVE
SUITE 150 SPORTS MEDICINE
BERKELEY, CA, 94720
Browse CA providers · Browse ZIP 94720
Phone
5106424878
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BERKELEY, CA

Name Credential NPI
TRACY YVETTE TRUMBLY PT 1578545547
JANE MARCUS GRALY PT 1396727343
JACQUELINE ANDREA PEREZ PT 1639115660
MS. MICHELLE NEUFELD PHYSICAL THERAPIST 1659389716
MR. PATRICK MICHAEL HANNUM PT 1689786543
CRAIG D NORTON RPT 1730275728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.