Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHELLY RAE HERBOTH
Active Sole ProprietorMRS. SHELLY RAE HERBOTH is a Developmental Therapist healthcare provider located in ALTAMONT, Illinois. NPI 1386941292 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · ALTAMONT, IL
Registration Details
- NPI Number
- 1386941292
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2011 (15.511743007851 yrs)
- Last Updated
- Feb 13, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
2868 E 825TH AVEALTAMONT, IL, 624113554Browse IL providers · Browse ZIP 62411
- Phone
- 6184835493
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.