Provider Demographics
NPI:1578666889
Name:BERG, KAREN D (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:BERG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4245
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-4245
Mailing Address - Country:US
Mailing Address - Phone:970-668-0888
Mailing Address - Fax:970-668-0227
Practice Address - Street 1:600 S CHERRY ST
Practice Address - Street 2:STE 325
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80291-0001
Practice Address - Country:US
Practice Address - Phone:970-668-0227
Practice Address - Fax:970-453-4364
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9210225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist