Provider Demographics
NPI:1124479605
Name:SHERMAN, RINDALYN ELLEN LOUISE (DPT)
Entity type:Individual
Prefix:
First Name:RINDALYN
Middle Name:ELLEN LOUISE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11728 S ALCAN ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6611
Mailing Address - Country:US
Mailing Address - Phone:913-832-8561
Mailing Address - Fax:949-404-6881
Practice Address - Street 1:11728 S ALCAN ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6611
Practice Address - Country:US
Practice Address - Phone:913-832-8561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20140394182251P0200X
KS11-049842251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics