Provider Demographics
NPI:1447044243
Name:HERRING, DEBBIE DENISE
Entity type:Individual
Prefix:MISS
First Name:DEBBIE
Middle Name:DENISE
Last Name:HERRING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6309 QUAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-5648
Mailing Address - Country:US
Mailing Address - Phone:813-455-4731
Mailing Address - Fax:
Practice Address - Street 1:6309 QUAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-5648
Practice Address - Country:US
Practice Address - Phone:813-455-4731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27103225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant