Provider Demographics
NPI:1043001175
Name:HERRSCHAFT, DARYL
Entity type:Individual
Prefix:
First Name:DARYL
Middle Name:
Last Name:HERRSCHAFT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2369 W ORTON CIR STE 20
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-7603
Mailing Address - Country:US
Mailing Address - Phone:801-433-2299
Mailing Address - Fax:801-433-2299
Practice Address - Street 1:2369 W ORTON CIR STE 20
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-7603
Practice Address - Country:US
Practice Address - Phone:801-433-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator