| Doctor Name: | KIRSTIN ULLA BERGMAN |
| NPI Number: | 1548491897 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 6456 |
| Business Practice Address: | 515 19th Ave Sw Willmar, MN - 562015274 |
| Business Phone Number: | 3202352720 |
| Business Fax Number: | |
| Mailing Address: | 515 19th Ave Sw, WILLMAR |
| State: | MN |
| Postal Code: | 562015274 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2009 |
| NPI Last Update Date: | 08/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |