Individual
DEBRA LYNN HERSHBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
740 S WASHINGTON ST, CHILLICOTHE, MO 64601-3042
(660) 646-0022
(660) 646-1553
Mailing address
2117 OAKLAWN DR, CHILLICOTHE, MO 64601-3552
(660) 646-1127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00943
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34256014
BLUE CROSS BLUE SHIELD
MO
05
—
483481438
—
MO
01
—
7332708
AETNA
MO
01
—
P00157305
RAIL ROAD MEDICARE
MO
Enumeration date
06/18/2006
Last updated
03/25/2013
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