Provider Demographics
NPI:1821881053
Name:LOVE, SHEREE (EXERCISEPHYSIOLOGIST)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:EXERCISEPHYSIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 361312
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30036-1312
Mailing Address - Country:US
Mailing Address - Phone:404-895-4450
Mailing Address - Fax:
Practice Address - Street 1:2591 BRIGHT CT
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-2245
Practice Address - Country:US
Practice Address - Phone:404-895-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist