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

KELLI MICHELLE BERG, DPT

Active

KELLI MICHELLE BERG, DPT is a Physical Therapy Assistant healthcare provider located in TISHOMINGO, Oklahoma. NPI 1861830978 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TISHOMINGO, OK

Registration Details

NPI Number
1861830978
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2013 (13.139160851909 yrs)
Last Updated
May 27, 2020
Licenses
PT-3305 (ID)
60221 (OR)
PT-3989 (HI)
11-04639 (KS)

Practice Information

Address
101 W MAIN ST
TISHOMINGO, OK, 734601724
Browse OK providers · Browse ZIP 73460
Phone
5803712334
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in TISHOMINGO, OK

Name Credential NPI
MR. JEFFREY JUMON ROWLAND P.T. 1801038526
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.