Provider Demographics
NPI:1851646350
Name:PHILLIPS-SHERER, KAREN S (CMT, MBA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:PHILLIPS-SHERER
Suffix:
Gender:F
Credentials:CMT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:9028 N RODGERS CT SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-9786
Mailing Address - Country:US
Mailing Address - Phone:616-536-2488
Mailing Address - Fax:
Practice Address - Street 1:9028 N RODGERS CT SE
Practice Address - Street 2:SUITE B
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-9786
Practice Address - Country:US
Practice Address - Phone:616-536-2488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist