Individual
CHERIESSE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5100 VISTA GRANDE DR APT 1115, ANTIOCH, CA 94531-8541
(702) 236-2163
Mailing address
3250 PLAYERS CLUB PKWY, MEMPHIS, TN 38125-8844
(901) 685-7227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1844
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505166
—
NV
Enumeration date
09/14/2006
Last updated
11/26/2021
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