Provider Demographics
NPI:1376840629
Name:SHERRY HALL, INC.
Entity Type:Organization
Organization Name:SHERRY HALL, INC.
Other - Org Name:BODYWISE NUTRITION CENTER & MARKETPLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-217-9473
Mailing Address - Street 1:810 NW BROAD ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2776
Mailing Address - Country:US
Mailing Address - Phone:615-217-9473
Mailing Address - Fax:
Practice Address - Street 1:810 NW BROAD ST
Practice Address - Street 2:SUITE 234
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2776
Practice Address - Country:US
Practice Address - Phone:615-217-9473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X
TN15360133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty