Healthcare Provider Details

I. General information

NPI: 1144798281
Provider Name (Legal Business Name): ANN MARIE HERRING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANN MARIE HERRING DPT

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

997 OLD US HWY 70 W STE D
BLACK MOUNTAIN NC
28711-4505
US

IV. Provider business mailing address

PO BOX 392573
PITTSBURGH PA
15251-9573
US

V. Phone/Fax

Practice location:
  • Phone: 828-669-6896
  • Fax:
Mailing address:
  • Phone: 724-343-4060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number298872
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24925
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: