Provider Demographics
NPI:1588919211
Name:REAGAN, SHERLYN DAVIDSON (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:SHERLYN
Middle Name:DAVIDSON
Last Name:REAGAN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6850 TPC DRIVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3145
Mailing Address - Country:US
Mailing Address - Phone:972-838-1635
Mailing Address - Fax:972-838-1634
Practice Address - Street 1:6850 TPC DRIVE
Practice Address - Street 2:SUITE 212
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3145
Practice Address - Country:US
Practice Address - Phone:972-838-1635
Practice Address - Fax:972-838-1634
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1050763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist