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Itali Herron, PTA
NPI 1053086959 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3415 Williams Dr Ste 145
Georgetown, TX 78628 - Phone
- (512) 887-4544
- Fax
- (512) 887-4542
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas