Provider Demographics
NPI:1932470556
Name:PARSONS, CHERYL (PT)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#65 STATE HIGHWAY AA
Mailing Address - Street 2:P.O. BOX 280
Mailing Address - City:WRIGHT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63390
Mailing Address - Country:US
Mailing Address - Phone:636-456-0235
Mailing Address - Fax:636-456-0325
Practice Address - Street 1:#65 STATE HIGHWAY AA
Practice Address - Street 2:
Practice Address - City:WRIGHT CITY
Practice Address - State:MO
Practice Address - Zip Code:63390
Practice Address - Country:US
Practice Address - Phone:636-456-0235
Practice Address - Fax:636-456-0325
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO113934225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist