Search › California › 225100000X
Kristy Illg, PT, ATC
NPI 1346254182 · on the registry since 2006 · sole proprietor
Practice
- Address
- Uc Berkeley Athletics - 2227 Piedmont Ave
Suite 150 Sports Medicine
Berkeley, CA 94720 - Phone
- (510) 642-4878
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2255A2300X
- Licence states on file
- CA, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California