Cheryl Elizabeth Wall in Saint Augustine - Massage Therapist
Cheryl Elizabeth Wall - NPI 1679755953
Cheryl Elizabeth Wall is a Massage Therapist in Saint Augustine, Florida. Cheryl Elizabeth Wall practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Cheryl Elizabeth Wall is 1679755953. The last update date is 2010-03-31.
Cheryl Elizabeth Wall's current location address is 4211 U.s. Highway 1 South, Saint Augustine, Florida. You can contact this provider via phone number 9047940854. The mailing address for Cheryl Elizabeth Wall is 4211 U.s. Highway 1 South, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Elizabeth Wall |
|---|---|
| Address | 4211 U.s. Highway 1 South, Saint Augustine, Florida |
| Phone Number | 9047940854 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1679755953 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2010-03-31 |
Provider Mailing Address Detail
| Address | 4211 U.s. Highway 1 South |
|---|---|
| City | Saint Augustine |
| State | Florida (FL) |
| Post Code | 320867096 |
| Phone Number | 9047940854 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA35162 |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C1650 | FL | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Cheryl Elizabeth Wall by the Centers for Medicare & Medicaid Services (CMS)?
The Cheryl Elizabeth Wall has been assigned the NPI (National Provider Identifier) 1679755953. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Cheryl Elizabeth Wall is physically located?
The Cheryl Elizabeth Wall is physically situated at the following address: 4211 U.S. Highway 1 South, Saint Augustine, FL, 320867096.
What is the Cheryl Elizabeth Wall's area of specialization and corresponding taxonomy classification?
The Cheryl Elizabeth Wall's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1679755953 to Cheryl Elizabeth Wall?
The Centers for Medicare & Medicaid Services assigned the 1679755953 to Cheryl Elizabeth Wall on 2007-11-29.
When was the Cheryl Elizabeth Wall's information last updated?
The Cheryl Elizabeth Wall's information was last updated on 2010-03-31.