Individual
CHERIE HAVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2712 BEE CAVES RD, SUITE 110, AUSTIN, TX 78746-5676
(512) 351-4791
(512) 732-2227
Mailing address
2712 BEE CAVES RD, SUITE 110, AUSTIN, TX 78746-5676
(512) 351-4791
(512) 732-2227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1124519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659677
BLUE CROSS
TX
Enumeration date
07/19/2006
Last updated
10/19/2007
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