Provider Demographics
NPI:1437371861
Name:GUY, SHERI DARLENE (RPT)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:DARLENE
Last Name:GUY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14355 TRAWICK RD
Mailing Address - Street 2:
Mailing Address - City:STAPLETON
Mailing Address - State:AL
Mailing Address - Zip Code:36578-4118
Mailing Address - Country:US
Mailing Address - Phone:251-253-1340
Mailing Address - Fax:251-809-1715
Practice Address - Street 1:109 SAINT JOSEPH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-2055
Practice Address - Country:US
Practice Address - Phone:251-809-1717
Practice Address - Fax:251-809-1715
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-29287OtherBLUE CROSS & BLUE SHIELD