Provider Demographics
NPI:1326278672
Name:JOEL, SHERYL ELAINE (CRMT)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:ELAINE
Last Name:JOEL
Suffix:
Gender:F
Credentials:CRMT
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:103 PLACER AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-1231
Mailing Address - Country:US
Mailing Address - Phone:720-635-7075
Mailing Address - Fax:
Practice Address - Street 1:4801 RIVERBEND RD
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2613
Practice Address - Country:US
Practice Address - Phone:303-440-6622
Practice Address - Fax:303-440-6623
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1762225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist