Provider Demographics
NPI:1659609709
Name:ATKINSON, SHERI LYNN (RMT)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12234 WOLFF CT
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5628
Mailing Address - Country:US
Mailing Address - Phone:720-289-1652
Mailing Address - Fax:303-635-9815
Practice Address - Street 1:12234 WOLFF CT
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-5628
Practice Address - Country:US
Practice Address - Phone:720-289-1652
Practice Address - Fax:303-635-9815
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4419225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist