Provider Demographics
NPI:1336369511
Name:UTZ, SHERI KAY (ATC, MS)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:KAY
Last Name:UTZ
Suffix:
Gender:F
Credentials:ATC, MS
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:KAY
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:1765 LOCK RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:KY
Mailing Address - Zip Code:41006-8569
Mailing Address - Country:US
Mailing Address - Phone:270-991-8044
Mailing Address - Fax:
Practice Address - Street 1:1918 DECLARATION DR
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KY
Practice Address - Zip Code:41051-7931
Practice Address - Country:US
Practice Address - Phone:859-356-0179
Practice Address - Fax:859-356-1345
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT5182255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer