Provider Demographics
NPI:1750522207
Name:SHERROW, CHERYL L (LMP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:SHERROW
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 AVENUE A
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2962
Mailing Address - Country:US
Mailing Address - Phone:360-568-4393
Mailing Address - Fax:
Practice Address - Street 1:127 AVENUE A
Practice Address - Street 2:SUITE 2B
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2962
Practice Address - Country:US
Practice Address - Phone:360-568-4393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023989225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist