MEDICARE: DEBORAH J SILKWOOD-SHERER 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
1	225100000X	Physical Therapist	5501002421	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5501002421	OTHER	MI	STATE LICENSE

General Provider Information

NPI Number	:	1922147263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH J SILKWOOD-SHERER PT

Provider Business Mailing Address
First Line	:	1202 HEALTH PROFESSIONS BUILDING
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48859-0001
Country	:	US
Telephone Number	:	989-774-1337
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 HEALTH PROFESSIONS BUILDING
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48859-0001
Country	:	US
Telephone Number	:	989-774-1337
Fax Number	:

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

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Directions to “ DEBORAH J SILKWOOD-SHERER PT” Practice Location

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