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

Mrs. Ivelisse Herrera, PT

Individual provider Physical Therapist · NPI 1578675906

Mrs. Ivelisse Herrera, PT is a Physical Therapist in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-6450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-0013258 (FL)

Record details

NPI number1578675906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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