Provider Demographics
NPI:1285893982
Name:WILLIAMS, SHERRI LYNNE (LMP)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8235 S PARK AVE
Mailing Address - Street 2:#411
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-5227
Mailing Address - Country:US
Mailing Address - Phone:253-905-3789
Mailing Address - Fax:
Practice Address - Street 1:8227 S PARK AVE
Practice Address - Street 2:#3
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-5224
Practice Address - Country:US
Practice Address - Phone:253-905-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020291225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist