Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Marie Hermes, PTA

Individual provider Physical Therapy Assistant · NPI 1619365681

Miranda Marie Hermes, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2305 San Luis Pl
Green Bay, WI 54304-5211
Phone: (920) 494-2817
Fax: (920) 494-2855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2213-19 (WI)

Record details

NPI number1619365681
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 29, 2014
Last updated in NPPESDecember 29, 2014

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