Edith Leona Herzel, PT

Individual provider Active NPI Physical Therapist · Fletcher, NC

NPI 1346456704 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1346456704
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
9317 (NC)
Practice address
13 Gun Flint TR
Fletcher No 2
Fletcher, NC 28732
Phone
(828) 628-3604
Fax
(828) 628-3604
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9317NCMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9317 NC Yes

Addresses

Primary practice location

13 Gun Flint TR
Fletcher No 2
Fletcher, NC 28732

Mailing address

13 Gun Flint TR
Fletcher, NC 28732
Phone (828) 628-3604

Other identifiers

IdentifierTypeStateIssuer
07837OtherNCBCBS

Other providers in Fletcher, NC

All providers in Fletcher, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.