Provider Demographics
NPI:1437323581
Name:SHERMAN, DEBRA DIANE (LMT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:DIANE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83655 HWY 101
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-8357
Mailing Address - Country:US
Mailing Address - Phone:541-997-1197
Mailing Address - Fax:
Practice Address - Street 1:83655 HWY 101
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-8357
Practice Address - Country:US
Practice Address - Phone:541-997-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-19
Last Update Date:2008-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1460225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist