Individual
MELISSA KATHRYN HERFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6980 MESA RIDGE PKWY, FOUNTAIN, CO 80817-1563
(719) 391-0044
Mailing address
760 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-6710
(973) 262-1979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
308766
CA
225100000X
Physical Therapist
40QA02324500
NJ
225100000X
Physical Therapist
PTL.0021016
CO
2255A2300X
Athletic Trainer
25MT00317400
NJ
Other
Enumeration date
08/23/2024
Last updated
01/11/2026
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