Provider Demographics
NPI:1578160248
Name:HAMMES, SHERI M (MT)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:M
Last Name:HAMMES
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34904 MELODY LN
Mailing Address - Street 2:
Mailing Address - City:JULIAN
Mailing Address - State:CA
Mailing Address - Zip Code:92036-9660
Mailing Address - Country:US
Mailing Address - Phone:951-581-2231
Mailing Address - Fax:
Practice Address - Street 1:2015 MAIN ST.
Practice Address - Street 2:STE F
Practice Address - City:JULIAN
Practice Address - State:CA
Practice Address - Zip Code:92036-9673
Practice Address - Country:US
Practice Address - Phone:951-581-2231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
173C00000X, 171400000X
CA17100225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness Coach