Provider Demographics
NPI:1750524906
Name:LUTHER, CHERYL A (DC, MS, CSCS, PES)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:A
Last Name:LUTHER
Suffix:
Gender:F
Credentials:DC, MS, CSCS, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 S MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2217
Mailing Address - Country:US
Mailing Address - Phone:734-927-4411
Mailing Address - Fax:734-927-4410
Practice Address - Street 1:1365 S MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2217
Practice Address - Country:US
Practice Address - Phone:734-927-4411
Practice Address - Fax:734-927-4410
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008465111N00000X
SC3441111N00000X
MI2301009727111N00000X
CO6628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor