Provider Demographics
NPI:1356850366
Name:MARSHALL, CHERYL N (OT)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:N
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10504 KOVATS CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3459
Mailing Address - Country:US
Mailing Address - Phone:502-382-6471
Mailing Address - Fax:
Practice Address - Street 1:10504 KOVATS CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3459
Practice Address - Country:US
Practice Address - Phone:502-382-6471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist