Provider Demographics
NPI:1083769301
Name:STORRO, SHERYL L (SHERYL STORRO)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:L
Last Name:STORRO
Suffix:
Gender:F
Credentials:SHERYL STORRO
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:
Other - Last Name:STORRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SHERYL STORRO
Mailing Address - Street 1:111 E MAGNESIUM RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5923
Mailing Address - Country:US
Mailing Address - Phone:509-465-3033
Mailing Address - Fax:509-465-3033
Practice Address - Street 1:111 E MAGNESIUM RD
Practice Address - Street 2:SUITE F
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5923
Practice Address - Country:US
Practice Address - Phone:509-465-3033
Practice Address - Fax:509-465-3033
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00004328225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist