Doctor Name: | MICHELLE HERBST |
NPI Number: | 1073614566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 3035 |
Business Practice Address: | 1555 Se Delaware Ave Suite M Ankeny, IA - 500214011 |
Business Phone Number: | 5159638723 |
Business Fax Number: | 5159638755 |
Mailing Address: | 5900 Nw 86th St, Suite 200 JOHNSTON |
State: | IA |
Postal Code: | 501312284 |
Phone Number: | 5152788151 |
Fax Number: | 5152788155 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |