Individual
MICHELLE HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1555 SE DELAWARE AVE, SUITE M, ANKENY, IA 50021-4011
(515) 963-8723
(515) 963-8755
Mailing address
5900 NW 86TH ST, SUITE 200, JOHNSTON, IA 50131-2284
(515) 278-8151
(515) 278-8155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3035
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
Enumeration date
09/26/2006
Last updated
09/26/2011
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