Provider Demographics
NPI:1235444175
Name:COFFMAN, SHERRI L (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:L
Last Name:COFFMAN
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 1:22481 LAKEVIEW PT
Mailing Address - Street 2:
Mailing Address - City:VASSAR
Mailing Address - State:KS
Mailing Address - Zip Code:66543-9131
Mailing Address - Country:US
Mailing Address - Phone:785-828-4810
Mailing Address - Fax:
Practice Address - Street 1:104 W MARKET ST
Practice Address - Street 2:SUITE B
Practice Address - City:OSAGE CITY
Practice Address - State:KS
Practice Address - Zip Code:66523-1277
Practice Address - Country:US
Practice Address - Phone:785-528-1123
Practice Address - Fax:785-528-4123
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-01655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist