Individual
CHERYL S. HAVRILESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 LAYTHAM PIKE, MAYSLICK, KY 41055-8930
(606) 763-6255
(606) 763-6245
Mailing address
319 S MAPLE ST, WINCHESTER, KY 40391-2416
(606) 763-6255
(606) 763-6245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-000938
KY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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