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

Katherine Mariah Berglund, MAT, ATC, LAT

Individual provider Athletic Trainer · NPI 1679069595

Katherine Mariah Berglund, MAT, ATC, LAT is an Athletic Trainer in Idaho Falls, Idaho. Licensed in Idaho and North Dakota. Registered with an NPI since 2018.

Licensed in
ID, ND
In the registry since
2018
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3302 Valencia Dr
Idaho Falls, ID 83404-7058
Phone: (208) 352-2584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-776 (ID)
Athletic Trainer Taxonomy 2255A2300X
Athletic Trainer Taxonomy 2255A2300X · Licence 884-20 (ND)

Record details

NPI number1679069595
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , ATC , LAT
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

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