Provider Demographics
NPI:1780353342
Name:TROTTER, SHERIEKA N
Entity type:Individual
Prefix:
First Name:SHERIEKA
Middle Name:N
Last Name:TROTTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 RAINIER AVE S APT 417
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4163
Mailing Address - Country:US
Mailing Address - Phone:206-504-8748
Mailing Address - Fax:
Practice Address - Street 1:310 17TH AVE S APT D2
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2194
Practice Address - Country:US
Practice Address - Phone:206-504-8748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60928932225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist