Lori A Hershberger, PTA

Individual provider Active NPI Physical Therapy Assistant · Cotter, AR

NPI 1447474259 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1447474259
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1524 PTA (AR)
Practice address
103 Abby LN
Cotter, AR 72626-9705
Phone
(870) 435-4448
NPI assigned
Apr 12, 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
1524 PTAARMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1524 PTA AR Yes

Addresses

Primary practice location

103 Abby LN
Cotter, AR 72626-9705

Mailing address

103 Abby LN
Cotter, AR 72626-9705
Phone (870) 435-4448

Other providers in Cotter, AR

All providers in Cotter, AR · Physical Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.