NPI 1003178807

Mark Scott Herbert

Practitioner Physical Therapist Shawano, WI

Practice location

Address: N4231 State Highway 22, Shawano, WI 54166-6130
Phone: (715) 526-3158
Fax: (715) 526-6225

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2986 (WI)

Other Physical Therapist providers in Wisconsin →

Registry record

NPI: 1003178807
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2012
Record last updated: 8 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.