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NPI Code Detail

MEDICARE: MR. STORMY L. SHERRER PT

MEDICARE:  MR. STORMY L. SHERRER  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
1225100000XPhysical Therapist003532KY

General Provider Information

NPI Number : 1477732451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STORMY L. SHERRER PT
Provider Business Mailing Address
First Line : 227 BROWNS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-3215
Country : US
Telephone Number : 502-791-0781
Fax Number : 502-791-0781
Provider Business Practice Location Address
First Line : 227 BROWNS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-3215
Country : US
Telephone Number : 502-791-0781
Fax Number : 502-791-0781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2007
Last Update Date : 06/01/2015

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Directions to “ MR. STORMY L. SHERRER PT” Practice Location

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