Provider Demographics
NPI:1750342143
Name:SCHERR, BRIAN MICHAEL (PT, CSCS)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:MICHAEL
Last Name:SCHERR
Suffix:
Gender:
Credentials:PT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 N LAKEWOOD DR
Mailing Address - Street 2:#100
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814
Mailing Address - Country:US
Mailing Address - Phone:208-966-4476
Mailing Address - Fax:208-966-4475
Practice Address - Street 1:1812 N LAKEWOOD DR
Practice Address - Street 2:#100
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814
Practice Address - Country:US
Practice Address - Phone:208-966-4476
Practice Address - Fax:208-966-4475
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-2596225100000X
WAPT00009796225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID11445302OtherCAQH