Provider Demographics
NPI:1477845287
Name:SHERMAN, CHAIYA E (LAC/EAMP, LMP)
Entity Type:Individual
Prefix:DR
First Name:CHAIYA
Middle Name:E
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LAC/EAMP, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9619 FIRDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-6519
Mailing Address - Country:US
Mailing Address - Phone:206-542-9852
Mailing Address - Fax:206-260-3656
Practice Address - Street 1:9619 FIRDALE AVE
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-6519
Practice Address - Country:US
Practice Address - Phone:065-429-8522
Practice Address - Fax:206-260-3656
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60206851225700000X
WAAC60735126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty