Healthcare Provider Details

I. General information

NPI: 1659643377
Provider Name (Legal Business Name): SHERRIE LEE DAY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 05/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 EAST 100 SOUTH
MT. PLEASANT UT
84647-1601
US

IV. Provider business mailing address

48 EAST 100 SOUTH
MT. PLEASANT UT
84647-1601
US

V. Phone/Fax

Practice location:
  • Phone: 435-220-0888
  • Fax:
Mailing address:
  • Phone: 435-220-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberDOPL 325867-4701
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberDOPL 325867-4701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: