Individual
CARISSA HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
7686 WALNUT ST, OMAHA, NE 68124-1717
(402) 819-8477
Mailing address
7686 WALNUT ST, OMAHA, NE 68124-1717
(402) 819-8477
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
523
NE
225700000X
Massage Therapist
1457
NE
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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