Provider Demographics
NPI:1720385834
Name:MCGUFFEY, SHERIE L (LMP)
Entity Type:Individual
Prefix:
First Name:SHERIE
Middle Name:L
Last Name:MCGUFFEY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 N NARROWS DR
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-1623
Mailing Address - Country:US
Mailing Address - Phone:253-759-1672
Mailing Address - Fax:253-761-4438
Practice Address - Street 1:2340 N NARROWS DR
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-1623
Practice Address - Country:US
Practice Address - Phone:253-759-1672
Practice Address - Fax:253-761-4438
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013554225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist