Provider Demographics
NPI:1619212065
Name:MATTHEWS, SHERI HARRIS (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:HARRIS
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 WRENNSTONE CT
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-5109
Mailing Address - Country:US
Mailing Address - Phone:919-971-6454
Mailing Address - Fax:
Practice Address - Street 1:3000 HOLSTON LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2002
Practice Address - Country:US
Practice Address - Phone:919-231-6045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist