IndividualActive
Amanda Herzog
NPI 1457526444 · Developmental Therapist · Champaign, IL
Provider details
- NPI number
- 1457526444
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- H622-0148-5785 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1007 Wilshire Ct
Champaign, IL 61821-6934
Phone: (217) 493-2265
Approximate (ZIP-level) locationGet directions
Mailing address
1007 Wilshire Ct
Champaign, IL 61821-6934
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2008-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.