Provider Demographics
NPI:1487985529
Name:CERIO-BERNSTEIN, SHARYN (REG MS THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:SHARYN
Middle Name:
Last Name:CERIO-BERNSTEIN
Suffix:
Gender:F
Credentials:REG MS THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BERKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-2441
Mailing Address - Country:US
Mailing Address - Phone:719-242-6355
Mailing Address - Fax:
Practice Address - Street 1:900 BERKLEY AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-2441
Practice Address - Country:US
Practice Address - Phone:719-242-6355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13933225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist