Provider Demographics
NPI:1780939918
Name:HERRICK, DANNA K (DPT)
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:K
Last Name:HERRICK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DANNA
Other - Middle Name:K
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8800 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:IA
Mailing Address - Zip Code:50061-5826
Mailing Address - Country:US
Mailing Address - Phone:515-298-1522
Mailing Address - Fax:
Practice Address - Street 1:8800 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:IA
Practice Address - Zip Code:50061-5826
Practice Address - Country:US
Practice Address - Phone:515-298-1522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004997225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist