Provider Demographics
NPI:1225293400
Name:RAIMONDE, CHERI ANN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:ANN
Last Name:RAIMONDE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 JUNIPER DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-5015
Mailing Address - Country:US
Mailing Address - Phone:928-821-0752
Mailing Address - Fax:
Practice Address - Street 1:510 JUNIPER DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5015
Practice Address - Country:US
Practice Address - Phone:928-821-0752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-27
Last Update Date:2008-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5270225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist