Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vitam PLLC

Organization Orthopedic Physical Therapist · NPI 1619316460

Vitam PLLC is an Orthopedic Physical Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3858 N Garden Center Way Ste 102
Boise, ID 83703-5008
Phone: (208) 830-1668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT-2717 (ID)

Record details

NPI number1619316460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Berg — Owner · (208) 830-1668
NPI enumeratedJune 14, 2013
Last updated in NPPESJune 4, 2014
Mailing address3858 N Garden Center Way, Suite 102, Boise, ID 83703-5008

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