Provider Demographics
NPI:1528395662
Name:DENUCCI, CHERYL MARY (DPT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:MARY
Last Name:DENUCCI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 ELM ST APT 24
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1534
Mailing Address - Country:US
Mailing Address - Phone:413-519-2241
Mailing Address - Fax:
Practice Address - Street 1:1051 ELM ST APT 24
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1534
Practice Address - Country:US
Practice Address - Phone:413-519-2241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist