MEDICARE: MRS. SHERI L TEMPLETON LMT

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	111N00000X	Chiropractor	111NN00000X	WA

General Provider Information

NPI Number	:	1306046032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERI L TEMPLETON LMT

Provider Business Mailing Address
First Line	:	PO BOX 390492
Second Line	:
City	:	KEAUHOU
State	:	HI
Zip	:	96739-0492
Country	:	US
Telephone Number	:	808-756-1492
Fax Number	:

Provider Business Practice Location Address
First Line	:	75-166 KALANI ST
Second Line	:	SUITE 203
City	:	KAILUA KONA
State	:	HI
Zip	:	96740-1857
Country	:	US
Telephone Number	:	808-329-5155
Fax Number	:

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

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/20/2007

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