Provider Demographics
NPI:1770606667
Name:CHERNEY, CHERYL (MT)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:CHERNEY
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 OAK ST
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2724
Mailing Address - Country:US
Mailing Address - Phone:707-364-3698
Mailing Address - Fax:
Practice Address - Street 1:1476 PROFESSIONAL DR
Practice Address - Street 2:SUITE 503
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-1500
Practice Address - Country:US
Practice Address - Phone:707-364-3698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist