Provider Demographics
NPI:1124244066
Name:HERRIOTT, MICHELLE ANN (RRT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANN
Last Name:HERRIOTT
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:ANN
Other - Last Name:HEGARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4300 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5446
Mailing Address - Country:US
Mailing Address - Phone:501-257-5772
Mailing Address - Fax:
Practice Address - Street 1:18 SILVERADO CT
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2896
Practice Address - Country:US
Practice Address - Phone:501-517-6884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRCP-2690227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered