Healthcare Provider Details

I. General information

NPI: 1023929510
Provider Name (Legal Business Name): SHERYL NICOLE LEE STRICKLAND MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 SAINT MARYS ST
RALEIGH NC
27605-1424
US

IV. Provider business mailing address

11771 RALEIGH RD
FOUR OAKS NC
27524-8663
US

V. Phone/Fax

Practice location:
  • Phone: 919-856-7810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberLAT-6426
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: