Shanna Marie Herman, Physical Therapist
Physical Therapist in Boise, ID. Individual provider (NPI-1).
NPI number1902279136
StatusActive
Last updated in NPPESNov 10, 2015
Details
- NPI
- 1902279136
- Entity type
- Individual (NPI-1)
- Name
- Shanna Marie Herman
- Credential
- Physical Therapist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2015
- Last updated
- Nov 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-4287 | ID | Yes |
Practice location
405 W Myrtle StBoise, ID 83702-7658
Phone 208-385-3420 · Fax 208-385-3421
Mailing address
405 W Myrtle StBoise, ID 83702-7658
Phone 208-385-3420 · Fax 208-385-3421
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All 474 Physical Therapist providers in Boise · All 12,265 providers in Boise
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