Doctor Name: | MRS. NICOLE LYNN HERDA |
NPI Number: | 1033484084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PTP-PT-LIC-1727 |
Business Practice Address: | 2900 10th Ave S Great Falls, MT - 594053243 |
Business Phone Number: | 4064530360 |
Business Fax Number: | |
Mailing Address: | 417 32nd Ave Ne, GREAT FALLS |
State: | MT |
Postal Code: | 594041065 |
Phone Number: | 4064536060 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2012 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTP-PT-LIC-1727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |