Individual
ROBERT WAYNE SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CHT
Contact information
Practice address
3047 WILLIAM ST, CAPE GIRARDEAU, MO 63703-6393
(573) 339-5989
(573) 339-7092
Mailing address
3047 WILLIAM ST STE 100, CAPE GIRARDEAU, MO 63703-6569
(573) 339-5989
(573) 339-7092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
103313
MO
2251H1200X
Hand Physical Therapist
Primary
103313
MO
2251X0800X
Orthopedic Physical Therapist
103313
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010157204
—
MO
Enumeration date
03/14/2007
Last updated
11/08/2024
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