Provider Demographics
NPI:1417935123
Name:STRAND, CHERIE L (OTR/L, CHT)
Entity Type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:L
Last Name:STRAND
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 641
Mailing Address - Street 2:
Mailing Address - City:CHALLIS
Mailing Address - State:ID
Mailing Address - Zip Code:83226-0641
Mailing Address - Country:US
Mailing Address - Phone:208-221-8233
Mailing Address - Fax:
Practice Address - Street 1:1 CLINIC DRIVE
Practice Address - Street 2:
Practice Address - City:CHALLIS
Practice Address - State:ID
Practice Address - Zip Code:83226
Practice Address - Country:US
Practice Address - Phone:208-879-4351
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDOT-504225X00000X
IDOT 504225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDW0558OtherBLUE CROSS PROVIDER #
ID000010007553OtherBLUE SHEILD PROVIDER NUMB
ID1655096Medicare ID - Type UnspecifiedMEDICARE PROVIDER #