| Doctor Name: | JILL MARIE BERG |
| NPI Number: | 1447366158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.P.T |
| License Number: | 02032 |
| Business Practice Address: | 5950 University Ave Ste 285 West Des Moines, IA - 502668216 |
| Business Phone Number: | 5158759706 |
| Business Fax Number: | 5158759707 |
| Mailing Address: | 6800 Lake Drive, Ste 250, WEST DES MOINES |
| State: | IA |
| Postal Code: | 502667574 |
| Phone Number: | 5158759925 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 02032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |