Healthcare Provider Details

I. General information

NPI: 1780939918
Provider Name (Legal Business Name): DANNA K HERRICK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANNA K KELLY DPT

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 COUNTY LINE RD
CUMMING IA
50061-5826
US

IV. Provider business mailing address

8800 COUNTY LINE RD
CUMMING IA
50061-5826
US

V. Phone/Fax

Practice location:
  • Phone: 515-298-1522
  • Fax:
Mailing address:
  • Phone: 515-298-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004997
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: