Provider Demographics
NPI:1174699219
Name:CONNORS, SHERRY LORINDA (PT)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:LORINDA
Last Name:CONNORS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:LORINDA
Other - Last Name:CORLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST P
Mailing Address - Street 1:5293 S ROVAN PT
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-8734
Mailing Address - Country:US
Mailing Address - Phone:615-418-5476
Mailing Address - Fax:
Practice Address - Street 1:5293 S ROVAN PT
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-8734
Practice Address - Country:US
Practice Address - Phone:615-418-5476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT7257225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist