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NPI Code Detail

MEDICARE: STEVEN HERMSEN PT

MEDICARE:   STEVEN  HERMSEN  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist16803WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912741265
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN HERMSEN PT
Provider Business Mailing Address
First Line : 1714 CANTERBURY RD
Second Line :
City : RALEIGH
State : NC
Zip : 27608-1110
Country : US
Telephone Number : 919-213-0504
Fax Number : 919-981-9213
Provider Business Practice Location Address
First Line : 731 N WATER ST STE M100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-4101
Country : US
Telephone Number : 919-213-0504
Fax Number : 919-981-9213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2024
Last Update Date : 01/20/2026

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