Provider Demographics
NPI:1497023378
Name:HARPER, CHERA RAE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:CHERA
Middle Name:RAE
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13701 E SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-0715
Mailing Address - Country:US
Mailing Address - Phone:509-922-5585
Mailing Address - Fax:509-927-7336
Practice Address - Street 1:13701 E SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0715
Practice Address - Country:US
Practice Address - Phone:509-922-5585
Practice Address - Fax:509-927-7336
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60202758225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist