Provider Demographics
NPI:1932280211
Name:STERCHI, SUSAN M (PT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:STERCHI
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 1:1548 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-8698
Mailing Address - Country:US
Mailing Address - Phone:828-508-6566
Mailing Address - Fax:828-586-6974
Practice Address - Street 1:1548 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-8698
Practice Address - Country:US
Practice Address - Phone:828-508-6566
Practice Address - Fax:828-586-6974
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC74042251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7210981Medicaid