Provider Demographics
NPI:1821639055
Name:SHERMAN, SKYLER BRICE NOEL (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:BRICE NOEL
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 COUNTY ROAD 245
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:CO
Mailing Address - Zip Code:81647-9794
Mailing Address - Country:US
Mailing Address - Phone:970-274-4816
Mailing Address - Fax:
Practice Address - Street 1:926 COUNTY ROAD 245
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:CO
Practice Address - Zip Code:81647-9794
Practice Address - Country:US
Practice Address - Phone:970-274-4816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-29
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAT.00020592255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer