Sherry Walls, LMT, LMMT
Individual provider Active NPI Massage Therapist · Ignacio, CO
NPI 1265978233 · NPPES record last updated Jan 13, 2017
Key facts
- NPI
- 1265978233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT0006402 (CO)
- Practice address
- 14324 US Hwy 172 North
Ignacio, CO 81137 - Phone
- (719) 688-5099
- NPI assigned
- Jan 13, 2017
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0006402 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT0006402 | CO | Yes |
Addresses
Primary practice location
14324 US Hwy 172 North
Ignacio, CO 81137
Mailing address
6198 Highway 151
Ignacio, CO 81137
Phone (719) 688-5099
Other providers in Ignacio, CO
- Shawmarie Tso
- Susan Jane Turner
- Hilbert Ray Vigil
- Monica Wagner
- Karen Ann Wallace
- Mariellen Walz
- Justin Weststeyn
- Richard Lyman Wilson
- Galina Wood
- Graciana Wood
All providers in Ignacio, CO · Massage Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2017. 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.