Doctor Name: | KRISTA HERBST |
NPI Number: | 1013345875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, ATC |
License Number: | 14547 |
Business Practice Address: | 3200 Northline Ave Ste 160 Greensboro, NC - 274087616 |
Business Phone Number: | 3365455000 |
Business Fax Number: | 3365455020 |
Mailing Address: | 3200 Northline Ave, Ste 200 GREENSBORO |
State: | NC |
Postal Code: | 274087616 |
Phone Number: | 3365455000 |
Fax Number: | 3365455020 |
NPI Enumeration Date: | 10/14/2013 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 14547 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |