MEDICARE: SHERRI BROWN LMT, RHIT

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	225700000X	Massage Therapist	MT036869	TX

General Provider Information

NPI Number	:	1659584472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI BROWN LMT, RHIT

Provider Business Mailing Address
First Line	:	PO BOX 126425
Second Line	:
City	:	BENBROOK
State	:	TX
Zip	:	76126-0425
Country	:	US
Telephone Number	:	817-308-1891
Fax Number	:	817-294-2797

Provider Business Practice Location Address
First Line	:	5701 WESTCREEK DR
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76133-3301
Country	:	US
Telephone Number	:	817-308-1891
Fax Number	:	817-297-2797

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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