Provider Demographics
NPI:1851830590
Name:CHERNEY, LEAH ANN (MHA, ATC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ANN
Last Name:CHERNEY
Suffix:
Gender:F
Credentials:MHA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 17TH ST S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-2557
Mailing Address - Country:US
Mailing Address - Phone:701-715-5274
Mailing Address - Fax:
Practice Address - Street 1:901 8TH ST S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56562-0001
Practice Address - Country:US
Practice Address - Phone:218-299-4989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer