DR. JENNIFER ANNE-LIEBERSBACH BERTOVICH DC
NPI 1669848180
Chiropractor in Ketchum, ID

Active since August 19, 2015
630 SUN VALLEY RD. STE D102, KETCHUM, ID 83340(775) 303-8005 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Anne-liebersbach Bertovich Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER ANNE-LIEBERSBACH BERTOVICH DC (NPI 1669848180) is an individual chiropractor in Ketchum, Idaho, licensed in Idaho (CHIA-1880) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1669848180
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JENNIFER ANNE-LIEBERSBACH BERTOVICHCredential: DC
Location Address630 SUN VALLEY RD. STE D102Ketchum, ID 83340
Mailing AddressPo Box 3336Ketchum, ID 83340 · (775) 303-8005
Sole ProprietorYes
Enumeration DateAugust 19, 2015
Last NPPES UpdateMarch 11, 2024
NPI 1669848180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in ID · CHIA-1880 Licensed in CA · 33042
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 33042 (CA)
Also ListedChiropractor · Pediatric ChiropractorTaxonomy 111NP0017X · License 33042 (CA)
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 33042 (CA)
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 33042 (CA)
Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X · License 33042 (CA)
630 SUN VALLEY RD. STE D102, Ketchum, ID 83340

Other Names 1

Former Name (1)Jennifer Anne Liebersbach

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bertovich's NPI number?

The NPI number for Jennifer Bertovich is 1669848180. It was assigned to this individual provider in the NPPES registry on August 19, 2015. The provider is also known as Jennifer Anne Liebersbach.

Where is Jennifer Bertovich located?

Jennifer Bertovich practices at 630 Sun Valley Rd. Ste D102, Ketchum, ID 83340. The listed phone number is (775) 303-8005.

What is Jennifer Bertovich's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Bertovich was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.