Alicia E Sherin, LMT AND MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT024296 Issued in TX

Practice address

1003 E Broad St
Suite 105
Mansfield, TX 76063-1716

Phone

(817) 528-0873

NPI assigned

Sep 16, 2010

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 names 1

• Alicia Sherin Former name

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1699083238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAUREL ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631817",
            "telephone_number": "817-528-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E BROAD ST",
            "address_2": "SUITE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631716",
            "telephone_number": "817-528-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIN",
        "first_name": "ALICIA",
        "middle_name": "E",
        "credential": "LMT AND MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT024296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "SHERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.