Provider Demographics
NPI:1912717927
Name:SHERMAN, MARIAH RILEY (MSOT)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:RILEY
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 NE 72ND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5411
Mailing Address - Country:US
Mailing Address - Phone:989-615-4017
Mailing Address - Fax:
Practice Address - Street 1:14595 NE BEL RED RD BLDG D101
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3928
Practice Address - Country:US
Practice Address - Phone:425-242-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61338566225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist