Provider Demographics
NPI:1235593542
Name:SHERLYN M ROBERSON
Entity Type:Organization
Organization Name:SHERLYN M ROBERSON
Other - Org Name:REIKI LUV THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERLYN
Authorized Official - Middle Name:MEDRA
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CMP
Authorized Official - Phone:310-733-6048
Mailing Address - Street 1:24415 MARIGOLD AVE
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-1827
Mailing Address - Country:US
Mailing Address - Phone:310-733-6048
Mailing Address - Fax:
Practice Address - Street 1:24415 MARIGOLD AVE
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-1827
Practice Address - Country:US
Practice Address - Phone:310-733-6048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty