Individual
GRACE KATHRYN HERBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
915 PIERCE ST, SIOUX CITY, IA 51101-1031
(712) 234-8760
(712) 234-8765
Mailing address
PO BOX 1533, SIOUX CITY, IA 51102-1533
(712) 234-8760
(712) 234-8765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
092424
IA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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