Provider Demographics
NPI:1891001392
Name:SHERRINGTON, COLETTE (LMP)
Entity Type:Individual
Prefix:
First Name:COLETTE
Middle Name:
Last Name:SHERRINGTON
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:COLETTE
Other - Middle Name:
Other - Last Name:HUNT-SHERRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:15421 DES MOINES MEMORIAL DR
Mailing Address - Street 2:APT J301
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148-2630
Mailing Address - Country:US
Mailing Address - Phone:206-905-9533
Mailing Address - Fax:
Practice Address - Street 1:15421 DES MOINES MEMORIAL DR
Practice Address - Street 2:APT J301
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148-2630
Practice Address - Country:US
Practice Address - Phone:206-905-9533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022855173C00000X
FLMA38308173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist