IndividualActive
Alyssa Herzog, PTA
NPI 1841974953 · Physical Therapy Assistant · Farmington, MO
Provider details
- NPI number
- 1841974953
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2023021570 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1195 Hazel Ln
Farmington, MO 63640-1920
Phone: (573) 756-2937
Fax: (636) 756-2939
Approximate (ZIP-level) locationGet directions
Mailing address
647 Spirit Airpark West Dr Ste 101
Chesterfield, MO 63005-1032
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.