Sherri Lorene Lewis, P.T.

Individual provider Active NPI Pediatric Physical Therapist · Vilonia, AR

NPI 1003949397 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1003949397
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
PT 1237 (AR)
Practice address
39 Fire Station Rd
Vilonia, AR 72173-8004
Phone
(501) 796-4873
Fax
(501) 796-4873
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 1237ARMDPediatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT 1237 AR Yes

Addresses

Primary practice location

39 Fire Station Rd
Vilonia, AR 72173-8004

Mailing address

39 Fire Station Rd
Vilonia, AR 72173-8004
Phone (501) 796-4873

Other providers in Vilonia, AR

All providers in Vilonia, AR · Pediatric Physical Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.