MS. Kristy L Illg, PT, ATC
NPI #1346254182 in Berkeley, California
Provider Information
- NPI Number
- 1346254182
- Entity Type
- Individual
- Name
- MS. Kristy L Illg, PT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, ATC
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- UC BERKELEY ATHLETICS - 2227 PIEDMONT AVE
- Address 2
- SUITE 150 SPORTS MEDICINE
- City
- Berkeley
- State
- California
- ZIP Code
- 94720
- Phone
- (510) 642-4878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physical Therapist |
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