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General NPI Number Information
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NPI Number | 1003446410
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Entity Type | Individual
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Provider Name | JANELLE KALEI HERRICK PT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1222 E WOODLAND AVE
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City | BARRON
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State | WI
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Zip | 54812-1765
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Country | US
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Telephone | 715-838-5222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860912
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0912
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Country | US
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Telephone | 507-284-2511
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17362-24
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License Number State | WI
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