Provider Demographics
NPI:1457761579
Name:SHERPA, PASHI
Entity type:Individual
Prefix:
First Name:PASHI
Middle Name:
Last Name:SHERPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 1/2 AUSTIN AVE
Mailing Address - Street 2:APT # 2
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-6101
Mailing Address - Country:US
Mailing Address - Phone:304-890-2288
Mailing Address - Fax:
Practice Address - Street 1:109 1/2 AUSTIN AVE
Practice Address - Street 2:APT # 2
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-6101
Practice Address - Country:US
Practice Address - Phone:304-890-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVC1903224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant