Provider Demographics
NPI:1477732451
Name:SHERRER, STORMY L (PT)
Entity Type:Individual
Prefix:MR
First Name:STORMY
Middle Name:L
Last Name:SHERRER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 BROWNS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3215
Mailing Address - Country:US
Mailing Address - Phone:502-791-0781
Mailing Address - Fax:502-791-0781
Practice Address - Street 1:227 BROWNS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3215
Practice Address - Country:US
Practice Address - Phone:502-791-0781
Practice Address - Fax:502-791-0781
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY003532225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist