Provider Demographics
NPI:1285332056
Name:HERRMANN, MARGARET (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HERRMANN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 NW 38TH ST APT 1-205
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4539
Mailing Address - Country:US
Mailing Address - Phone:314-780-7977
Mailing Address - Fax:
Practice Address - Street 1:11036 OAKMONT ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1100
Practice Address - Country:US
Practice Address - Phone:913-413-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-07233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist