OrganizationActive
Working With Pride
NPI 1770718249 · Mechanotherapist · Philadelphia, PA
Provider details
- NPI number
- 1770718249
- Entity type
- Organization
- Primary specialty
- MechanotherapistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sherri Coston, Massage Therapist(215) 747-4361
- License
- 458095 (PA)
Specialties & taxonomies
Other Service Providers
Practice location
722 S Ithan St
Philadelphia, PA 19143-2810
Phone: (215) 747-4361
Approximate (ZIP-level) locationGet directions
Mailing address
722 S Ithan St
Philadelphia, PA 19143-2810
Registry dates
- Enumerated
- 2009-05-27
- Last updated
- 2009-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.