Individual
MRS. MISTI DAWN HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-5400
(270) 338-2336
Mailing address
515 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-5400
(270) 338-2336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01232
KY
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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