Provider Demographics
NPI:1871697375
Name:DENTON, SHARI ANN (LMT, NMT, TPMT)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:ANN
Last Name:DENTON
Suffix:
Gender:F
Credentials:LMT, NMT, TPMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 BARBARA LOOP SE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1039
Mailing Address - Country:US
Mailing Address - Phone:505-792-2592
Mailing Address - Fax:505-792-2814
Practice Address - Street 1:4011 BARBARA LOOP SE
Practice Address - Street 2:SUITE 108
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1039
Practice Address - Country:US
Practice Address - Phone:505-792-2592
Practice Address - Fax:505-792-2814
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X, 225400000X
NM3940225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No174400000XOther Service ProvidersSpecialist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist