Provider Demographics
NPI:1720519614
Name:HERRMAN PHYSICAL THERAPY & WELLNESS, LLC
Entity Type:Organization
Organization Name:HERRMAN PHYSICAL THERAPY & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:785-621-5888
Mailing Address - Street 1:2514 VINE ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2476
Mailing Address - Country:US
Mailing Address - Phone:785-621-5888
Mailing Address - Fax:785-621-5890
Practice Address - Street 1:2514 VINE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2476
Practice Address - Country:US
Practice Address - Phone:785-621-5888
Practice Address - Fax:785-621-5890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty