Provider Demographics
NPI:1679527261
Name:GOMES, SHERRI E (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:E
Last Name:GOMES
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 1:2748 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4947
Mailing Address - Country:US
Mailing Address - Phone:406-443-1122
Mailing Address - Fax:406-443-1144
Practice Address - Street 1:2748 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4947
Practice Address - Country:US
Practice Address - Phone:406-443-1122
Practice Address - Fax:406-443-1144
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4461225100000X
HI2528174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI2528OtherPHYSICAL THERAPY LICENSE
MT4461OtherPHYSICAL THERAPY LICENSE