Provider Demographics
NPI:1609319243
Name:SHERMAN, DARIA KATHLEEN (PHD, LMT)
Entity type:Individual
Prefix:DR
First Name:DARIA
Middle Name:KATHLEEN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHD, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5480 CABLE POINT CIR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-1638
Mailing Address - Country:US
Mailing Address - Phone:330-936-9942
Mailing Address - Fax:
Practice Address - Street 1:5480 CABLE POINT CIR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-1638
Practice Address - Country:US
Practice Address - Phone:330-936-9942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7156172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist