| Doctor Name: | SHERYL VILLASIS |
| NPI Number: | 1053774471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT/DPT |
| License Number: | 9886 |
| Business Practice Address: | 5820 Flintridge Dr Colorado Springs, CO - 809181883 |
| Business Phone Number: | 7195997328 |
| Business Fax Number: | 7192640227 |
| Mailing Address: | 5820 Flintridge Dr, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809181883 |
| Phone Number: | 7195997328 |
| Fax Number: | 7192640227 |
| NPI Enumeration Date: | 04/02/2016 |
| NPI Last Update Date: | 04/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 9886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |