Provider Demographics
NPI:1790017143
Name:HICKEY, SHERYL L (PT)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:HICKEY
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:COTTAGE HOSPITAL
Mailing Address - Street 2:90 SWIFTWATER RD
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785
Mailing Address - Country:US
Mailing Address - Phone:603-747-9000
Mailing Address - Fax:603-747-3310
Practice Address - Street 1:COTTAGE HOSPITAL
Practice Address - Street 2:90 SWIFTWATER RD
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785
Practice Address - Country:US
Practice Address - Phone:603-747-9000
Practice Address - Fax:603-747-3310
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1812225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist