Provider Demographics
NPI:1558755579
Name:CORR, SHARI LYNNE (LM, CPM, CMT)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:LYNNE
Last Name:CORR
Suffix:
Gender:F
Credentials:LM, CPM, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HOOD ST # A
Mailing Address - Street 2:
Mailing Address - City:WINOOSKI
Mailing Address - State:VT
Mailing Address - Zip Code:05404-1863
Mailing Address - Country:US
Mailing Address - Phone:802-343-1003
Mailing Address - Fax:
Practice Address - Street 1:525 HERCULES DR
Practice Address - Street 2:SUITE 1B
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-5993
Practice Address - Country:US
Practice Address - Phone:208-343-1003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172M00000X, 374J00000X
VT107.0129913176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No172M00000XOther Service ProvidersMechanotherapist
No374J00000XNursing Service Related ProvidersDoula