Provider Demographics
NPI:1891028932
Name:ST. CLAIR, SHERI (PT)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:
Last Name:ST. CLAIR
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 1:773 EAST ST
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3033
Mailing Address - Country:US
Mailing Address - Phone:810-664-3000
Mailing Address - Fax:810-664-9775
Practice Address - Street 1:773 EAST ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3033
Practice Address - Country:US
Practice Address - Phone:810-664-3000
Practice Address - Fax:810-664-9775
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501006287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist