Provider Demographics
NPI:1700086998
Name:WALTERS, SHERI LYNNE (PT, ATC)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:LYNNE
Last Name:WALTERS
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6155 SPORTS VILLAGE RD STE 400
Mailing Address - Street 2:EXOS-ATHLETES' PERFORMANCE
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3578
Mailing Address - Country:US
Mailing Address - Phone:214-618-3246
Mailing Address - Fax:214-618-3249
Practice Address - Street 1:6155 SPORTS VILLAGE RD STE 400
Practice Address - Street 2:EXOS-ATHLETES' PERFORMANCE
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3578
Practice Address - Country:US
Practice Address - Phone:214-618-3246
Practice Address - Fax:214-618-3249
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT286282251S0007X
IN05009329A2251S0007X
TX11699082251S0007X
AZ105862251S0007X
CAPT409112251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports