Provider Demographics
NPI:1609016047
Name:BRIMM, SHERI L
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:L
Last Name:BRIMM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:L
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:159 WESTMINSTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:TN
Mailing Address - Zip Code:38544
Mailing Address - Country:US
Mailing Address - Phone:931-858-5846
Mailing Address - Fax:
Practice Address - Street 1:1080 NEAL ST STE 300
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-0945
Practice Address - Country:US
Practice Address - Phone:931-372-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000004496225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist