Provider Demographics
NPI:1457835449
Name:ERNSTE, SHERRI LOU
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LOU
Last Name:ERNSTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 CREEK LN
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-3436
Mailing Address - Country:US
Mailing Address - Phone:507-301-3338
Mailing Address - Fax:
Practice Address - Street 1:710 17TH ST SW
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-5518
Practice Address - Country:US
Practice Address - Phone:507-384-8859
Practice Address - Fax:507-333-6050
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5238225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist