Provider Demographics
NPI:1740609742
Name:SHERMAN, RAYMOND DANIEL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:DANIEL
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:
Practice Address - Street 1:1704 INGERSOLL AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-3332
Practice Address - Country:US
Practice Address - Phone:515-282-4560
Practice Address - Fax:515-282-4570
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3222225100000X
IA081272225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist