Provider Demographics
NPI:1326346180
Name:MASANI, CHERYL A (CHOM, CMT, CA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:MASANI
Suffix:
Gender:F
Credentials:CHOM, CMT, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7339 S GORE RANGE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3283
Mailing Address - Country:US
Mailing Address - Phone:720-270-6986
Mailing Address - Fax:
Practice Address - Street 1:7339 S GORE RANGE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3283
Practice Address - Country:US
Practice Address - Phone:720-270-6986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2873225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist