Provider Demographics
NPI:1316337793
Name:SHER PELVIC HEALTH AND HEALING, LLC.
Entity type:Organization
Organization Name:SHER PELVIC HEALTH AND HEALING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, CSCS
Authorized Official - Phone:407-900-2876
Mailing Address - Street 1:235 S MAITLAND AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5677
Mailing Address - Country:US
Mailing Address - Phone:407-900-2876
Mailing Address - Fax:321-348-5779
Practice Address - Street 1:235 S MAITLAND AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5677
Practice Address - Country:US
Practice Address - Phone:407-900-2876
Practice Address - Fax:321-348-5779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18944261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy