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NPI Code Detail

MEDICARE: BRENDA HERRINGTON CPTA

MEDICARE:   BRENDA  HERRINGTON  CPTA
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
1225200000XPhysical Therapy Assistant1400759KS
2225200000XPhysical Therapy AssistantPTA001204GA

General Provider Information

NPI Number : 1326241951
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA HERRINGTON CPTA
Provider Business Mailing Address
First Line : 32 CHISHOLM CREEK DR
Second Line :
City : WICHITA
State : KS
Zip : 67220-4900
Country : US
Telephone Number : 316-288-6655
Fax Number :
Provider Business Practice Location Address
First Line : 2311 S KANSAS RD
Second Line :
City : NEWTON
State : KS
Zip : 67114-9032
Country : US
Telephone Number : 316-283-7187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2007
Last Update Date : 05/28/2014

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Directions to “ BRENDA HERRINGTON CPTA” Practice Location

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