Provider Demographics
NPI:1588951107
Name:SHERWOOD, KAREN K (PT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:K
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CAROLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1779
Mailing Address - Country:US
Mailing Address - Phone:585-343-5978
Mailing Address - Fax:
Practice Address - Street 1:2 CAROLWOOD DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1779
Practice Address - Country:US
Practice Address - Phone:585-343-5978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-03
Last Update Date:2011-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010420-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist