Provider Demographics
NPI:1528470952
Name:SCOTT, SHERRI K (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:K
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 REED CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-6317
Mailing Address - Country:US
Mailing Address - Phone:803-316-2141
Mailing Address - Fax:843-669-3060
Practice Address - Street 1:1406 REED CT
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-6317
Practice Address - Country:US
Practice Address - Phone:803-316-2141
Practice Address - Fax:843-669-3060
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4017225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist