Provider Demographics
NPI:1891028932
Name:ST. CLAIR, SHERI (PT)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:ST. CLAIR
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 1:5 WOODHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-9030
Mailing Address - Country:US
Mailing Address - Phone:864-772-1004
Mailing Address - Fax:833-796-6540
Practice Address - Street 1:4122 CLEMSON BLVD STE 4G
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1100
Practice Address - Country:US
Practice Address - Phone:864-772-1004
Practice Address - Fax:833-796-6540
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist