Provider Demographics
NPI:1497784938
Name:SIGMON, JERRI MYERS (ATC)
Entity Type:Individual
Prefix:MRS
First Name:JERRI
Middle Name:MYERS
Last Name:SIGMON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 BUNKER HILL SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-9718
Mailing Address - Country:US
Mailing Address - Phone:828-459-1148
Mailing Address - Fax:
Practice Address - Street 1:3306 BUNKER HILL SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NC
Practice Address - Zip Code:28610-9718
Practice Address - Country:US
Practice Address - Phone:828-459-1148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer