MEDICARE: SHERRIE LYNN KNASTER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT004035L	PA

General Provider Information

NPI Number	:	1568595197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRIE LYNN KNASTER PT

Provider Business Mailing Address
First Line	:	2414 OVERLOOK DR
Second Line	:
City	:	GILBERTSVILLE
State	:	PA
Zip	:	19525-9768
Country	:	US
Telephone Number	:	610-326-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 EVERGREEN RD
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-3143
Country	:	US
Telephone Number	:	610-323-1800
Fax Number	:	610-970-6183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/08/2007

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