Provider Demographics
NPI:1427002492
Name:SIMMONDS, CHERYLENA ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYLENA
Middle Name:ELIZABETH
Last Name:SIMMONDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 116TH AVE NE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3009
Mailing Address - Country:US
Mailing Address - Phone:206-910-4303
Mailing Address - Fax:866-272-4303
Practice Address - Street 1:1603 116TH AVE NE
Practice Address - Street 2:SUITE 111
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3009
Practice Address - Country:US
Practice Address - Phone:206-910-4303
Practice Address - Fax:866-272-4303
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor