Doctor Name: | CHERALEE K PINNOCK |
NPI Number: | 1215227491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA 00019826 |
Business Practice Address: | 22910 E Appleway Ave Ste 7 Liberty Lake, WA - 990198606 |
Business Phone Number: | 5092420911 |
Business Fax Number: | 5092420913 |
Mailing Address: | 22910 E Appleway Ave Ste 7, LIBERTY LAKE |
State: | WA |
Postal Code: | 990198606 |
Phone Number: | 5092420911 |
Fax Number: | 5092420913 |
NPI Enumeration Date: | 04/09/2011 |
NPI Last Update Date: | 04/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 00019826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |