Provider Demographics
NPI:1184625386
Name:MAST, SHARI (PT)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:MAST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:HESS ORTHOPAEDICS AND SPORTS MEDICINE PLC
Mailing Address - Street 2:4165 QUARLES COURT
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801
Mailing Address - Country:US
Mailing Address - Phone:540-434-1664
Mailing Address - Fax:540-437-0052
Practice Address - Street 1:HESS ORTHOPAEDICS AND SPORTS MEDICINE PLC
Practice Address - Street 2:4165 QUARLES COURT
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-434-1664
Practice Address - Fax:540-437-0052
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305004265225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
103170OtherANTHEM
VA0636510001Medicare NSC
Q11841Medicare UPIN
VA004177H96Medicare ID - Type Unspecified