Provider Demographics
NPI:1043022627
Name:SCHERER, TABITHA D (LMT, HHP)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:D
Last Name:SCHERER
Suffix:
Gender:F
Credentials:LMT, HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 S INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-2850
Mailing Address - Country:US
Mailing Address - Phone:260-909-3314
Mailing Address - Fax:
Practice Address - Street 1:803 S INDIANA AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-2850
Practice Address - Country:US
Practice Address - Phone:260-909-3314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
245184110175F00000X
INMT21806518225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No175F00000XOther Service ProvidersNaturopath