IndividualActive
Andrea Herod, PTA
NPI 1619624715 · Physical Therapy Assistant · Cleveland, TN
Provider details
- NPI number
- 1619624715
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2745 Executive Park Nw
Cleveland, TN 37312-2723
Phone: (423) 584-1575
Approximate (ZIP-level) locationGet directions
Mailing address
4339 Katie Kim Ln
Ooltewah, TN 37363-8454
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.