Individual
CARLY MAE HERGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 VINELAND SCHOOL RD, DE SOTO, MO 63020-2561
(636) 586-1000
Mailing address
7545 HILLSBORO HOUSE SPRINGS RD, CEDAR HILL, MO 63016-3602
(636) 495-5508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2024032825
MO
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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