Provider Demographics
NPI:1396966230
Name:WEMMER, CHERYL NOELLE (MPT)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:NOELLE
Last Name:WEMMER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:CHERYL
Other - Middle Name:NOELLE
Other - Last Name:ROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:78 WASHINGTON SQ
Mailing Address - Street 2:# 2
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4068
Mailing Address - Country:US
Mailing Address - Phone:978-740-9524
Mailing Address - Fax:
Practice Address - Street 1:103 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-4001
Practice Address - Country:US
Practice Address - Phone:781-593-2727
Practice Address - Fax:781-593-2542
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist