Doctor Name: | MIRIAM JANICE HERSTIK |
NPI Number: | 1205882768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 15 Courthouse Sq Jasper, TN - 373473531 |
Business Phone Number: | 4239428073 |
Business Fax Number: | 4239426660 |
Mailing Address: | 8823 Production Ln, OOLTEWAH |
State: | TN |
Postal Code: | 373636511 |
Phone Number: | 4232387217 |
Fax Number: | 4232383473 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 01/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |