Shelly Rae Herboth
Developmental Therapist · Altamont, IL
NPI number
1386941292
Practice location
2868 E 825TH AveAltamont, IL 62411-3554
- Phone
- (618) 483-5493
NPI record
- NPI
- 1386941292
- Entity type
- Individual (Type 1)
- Enumeration date
- February 13, 2011
- Last updated
- February 13, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X |
— | — |
About Shelly Herboth
Shelly Rae Herboth is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 2868 E 825TH Ave, Altamont, IL 62411-3554. The NPI number 1386941292 was assigned on February 13, 2011 and the record was last updated on February 13, 2011.
Frequently asked questions
What is the NPI number of Shelly Rae Herboth?
The NPI number is 1386941292.
What is the phone number of Shelly Herboth?
The phone number listed for the practice location is (618) 483-5493.
Where is Shelly Herboth located?
2868 E 825TH Ave, Altamont, IL 62411-3554.
What is the taxonomy code for Shelly Herboth?
The primary taxonomy code is 222Q00000X – Developmental Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Developmental Therapist providers in Altamont
- Herboth Developmental Therapy2868 E 825TH Ave