Provider Demographics
NPI:1093935207
Name:JAMES, CHERYL ANN
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1989 ANDERSON COUNTY ROAD
Mailing Address - Street 2:137
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75839
Mailing Address - Country:US
Mailing Address - Phone:903-948-8403
Mailing Address - Fax:
Practice Address - Street 1:3950 S STATE HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-6352
Practice Address - Country:US
Practice Address - Phone:903-948-8403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT046713225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist