Provider Demographics
NPI:1063682441
Name:MCKAY, SHERYL LEONA (COTA)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LEONA
Last Name:MCKAY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 OAK RUN
Mailing Address - Street 2:
Mailing Address - City:WHITNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76692-4552
Mailing Address - Country:US
Mailing Address - Phone:469-765-6609
Mailing Address - Fax:
Practice Address - Street 1:1108 W KILPATRICK
Practice Address - Street 2:CLEBURE REHABILITATION & HEALTH CARE CENTER
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033
Practice Address - Country:US
Practice Address - Phone:817-645-3931
Practice Address - Fax:817-645-1879
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207839225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist