Doctor Name: | MR. JEFFREY P. HERRICK |
NPI Number: | 1184747461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 000746 |
Business Practice Address: | 35 S Main St Petersburg, WV - 268471727 |
Business Phone Number: | 3042572606 |
Business Fax Number: | |
Mailing Address: | 50 Point Dr, PETERSBURG |
State: | WV |
Postal Code: | 268479608 |
Phone Number: | 3042579383 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 000746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |