Provider Demographics
NPI:1568802593
Name:HARRELL, CHERI D (DPT)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:D
Last Name:HARRELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E JACKSON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3692
Mailing Address - Country:US
Mailing Address - Phone:509-925-6220
Mailing Address - Fax:509-925-6221
Practice Address - Street 1:100 E JACKSON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3692
Practice Address - Country:US
Practice Address - Phone:509-925-6220
Practice Address - Fax:509-925-6221
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist