Sherry Lyn Fraser, RMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2677-046 Issued in WI

Practice address

14 E Main St
Watertown, WI 53094-3746

Phone

(920) 253-9494

NPI assigned

Apr 16, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1487897799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CENTER ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530982014",
            "telephone_number": "920-253-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943746",
            "telephone_number": "920-253-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "SHERRY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "RMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "2677-046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WIS DEPT OF REG AND LICENSING",
            "identifier": "2677-046",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jean Flagge, PA-C
• Forward Family Care, LLC
• Edward J Foster, MD
• Marci R Foutch, COTA
• William E Fowler, M.D.
• Sarah J Fredrich, LCSW
• Edward Fairfax Frost, MD
• Jeffrey Fruendt, D.C.
• Jennifer Wynne Furlong, APNP
• Jennifer Garcia, OTR/L

• Massage Therapist in Watertown, WI
• Providers in Watertown, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.