Provider Demographics
NPI:1720322118
Name:REDINGER, SHERYL ANN (PTA)
Entity Type:Individual
Prefix:MR
First Name:SHERYL
Middle Name:ANN
Last Name:REDINGER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 SANTAFE
Mailing Address - Street 2:
Mailing Address - City:HALSTEAD
Mailing Address - State:KS
Mailing Address - Zip Code:67056-2133
Mailing Address - Country:US
Mailing Address - Phone:316-833-8476
Mailing Address - Fax:
Practice Address - Street 1:400 S. BUHLER ROAD
Practice Address - Street 2:SUNSHINE MEADOWS RETIREMENT SERVICES
Practice Address - City:BUHLER
Practice Address - State:KS
Practice Address - Zip Code:67552
Practice Address - Country:US
Practice Address - Phone:620-543-2251
Practice Address - Fax:620-543-2434
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-01452225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant