Sherri Southard
Individual provider Active NPI Massage Therapist · Millersport, OH
NPI 1104704030 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1104704030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 33.023293 (OH)
- Practice address
- 10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003 - Phone
- (740) 467-2486
- Fax
- (740) 467-2498
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.023293 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keller Family Chiropractic, LLC | Current |
Accepting new patients |
Locations
10400 Lancaster Newark Rd NE
Millersport, OH 43046
Phone (740) 467-2486
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.023293 | OH | Yes |
Addresses
Primary practice location
10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003
Mailing address
10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003
Phone (740) 467-2486
Other providers in Millersport, OH
- Deborah J Scafate
- Erika Maria Schilling
- Kristin Deanne Schilling
- Kristie N Sisson
- Rachel Marie Southard
- Together We Grow Speech Therapy, LLC
- Joseph Anthony Trapp
- Walnut Township Local School District
- Walnut Township Trustees
- Wells & Associates
All providers in Millersport, OH · Massage Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.