Provider Demographics
NPI:1881733913
Name:MORRIS, SHERYL ANNETTE (LMP)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:ANNETTE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:98252
Mailing Address - Country:US
Mailing Address - Phone:425-297-3921
Mailing Address - Fax:425-322-3397
Practice Address - Street 1:2804 GRAND AVENUE, SUITE 307-A
Practice Address - Street 2:MIND BODY AND SOLE
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-259-6962
Practice Address - Fax:425-322-3397
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00000346225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA181539OtherPREMARA BLUE CROSS
WA9923MOOtherREGENCE BLUE SHIELD