SHERRI BRODERICK (NPI# 1043701279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043701279 |
| Entity Type | Individual |
| Full Name | SHERRI BRODERICK |
| Credential | LMT |
| Practice Address |
325 N Locust St Sisters OR 97759-5047 |
| Mailing Address |
Po Box 756 Sisters OR 97759-0756 |
| Practice Telephone | 5415493534 |
| Mailing Telephone | 5412410043 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 15583 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
325 N LOCUST ST |
| City | SISTERS |
| State | OR |
| Zip Code | 97759-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982095188 | Richard J Hummel | Massage Therapist | 325 N Locust St, Sisters, OR 97759-5047 | 2015-02-10 |
| 1619522752 | Natalie D Delozier | Massage Therapist | 325 N Locust St, Sisters, OR 97759-5047 | 2019-08-06 |
| 1952768996 | Monika Edith Piatt | Massage Therapist | 325 N Locust St, Sisters, OR 97759-5047 | 2016-01-21 |
| 1275925307 | Verdi Hummel | Massage Therapist | 325 N Locust St, Sisters, OR 97759-5047 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487164 | Gordon Paul Friesen | Pharmacist | 635 N Arrowleaf Trail, Sisters, OR 97759 | 2020-08-10 |
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1871136036 | Now and Zen Therapy, LLC | Counselor | 475 W. Hwy 20, Sisters, OR 97759 | 2019-10-21 |
| 1679029391 | Taya Louise Newton | Massage Therapist | 161 N. Elm Street, Suite C, Sisters, OR 97759 | 2016-09-01 |
| 1538547625 | Angela Denise Ward | Massage Therapist | 412 E Main Ave, Suite 1, Sisters, OR 97759 | 2015-05-11 |
| 1346632775 | Michelle Farra | Massage Therapist | 164 N. Elm St, Sisters, OR 97759 | 2015-02-23 |
| 1629401575 | Trevor Mathias Bauer Frideres | Dentist | 410 E Cascade Ave, Sisters, OR 97759 | 2013-08-14 |
| 1093089278 | Jeanette Maureen Murphy | Pharmacist | 211 E. Cascade Avenue, Sisters, OR 97759 | 2012-03-06 |
| 1659644516 | Andrew T Mohler | Pharmacist | 445 W Hwy 20, Sisters, OR 97759 | 2012-02-22 |
| 1053684597 | Central Oregon Eyecare, PC | Optometrist | 625 N Arrowleaf Trail, Ste 103, Sisters, OR 97759 | 2012-02-14 |
| Find all providers in zip 97759 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679029391 | Taya Louise Newton | Massage Therapist | 161 N. Elm Street, Suite C, Sisters, OR 97759 | 2016-09-01 |
| 1538547625 | Angela Denise Ward | Massage Therapist | 412 E Main Ave, Suite 1, Sisters, OR 97759 | 2015-05-11 |
| 1346632775 | Michelle Farra | Massage Therapist | 164 N. Elm St, Sisters, OR 97759 | 2015-02-23 |
| 1982095188 | Richard J Hummel | Massage Therapist | 325 N Locust St, Sisters, OR 97759-5047 | 2015-02-10 |
| 1528467131 | Carol Tewalt | Massage Therapist | 16410 Highway 126, Sisters, OR 97759-9599 | 2014-08-19 |
| 1760733513 | Matthew Mccurdy | Massage Therapist | 270 S Spruce St, Sisters, OR 97759-1127 | 2012-09-19 |
| 1619270808 | Melinda Dee Corey | Massage Therapist | 161 S Elm St, Sisters, OR 97759-1070 | 2010-12-10 |
| 1497062004 | Gregory Moring | Massage Therapist | 160 S Oak St Ste 100, Sisters, OR 97759-1589 | 2010-09-02 |
| 1740432285 | Shena Lee Fields | Massage Therapist | 392 E Main Ave, Sisters, OR 97759 | 2008-10-15 |
| 1225294986 | Sabrina Ann Gustat | Massage Therapist | 703 N Larch St, Sisters, OR 97759-0140 | 2008-08-01 |
| Find all providers in SISTERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.