Provider Demographics
NPI:1881718484
Name:SHERI QUESNEL PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:SHERI QUESNEL PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:QUESNEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-488-0187
Mailing Address - Street 1:922 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-2516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:970-407-9934
Practice Address - Street 1:922 W OAK ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2516
Practice Address - Country:US
Practice Address - Phone:970-488-0187
Practice Address - Fax:970-797-1232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5644261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1841365947OtherNPI FOR SHERI QUESNEL