Provider Demographics
NPI:1942811872
Name:SHERMAN, ANNE MARIE (CMT, NMT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:CMT, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29424 GREENGRASS CT
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-1530
Mailing Address - Country:US
Mailing Address - Phone:818-665-9227
Mailing Address - Fax:
Practice Address - Street 1:29424 GREENGRASS CT
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-1530
Practice Address - Country:US
Practice Address - Phone:818-665-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77575225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist