Healthcare Provider Details
I. General information
NPI: 1538947080
Provider Name (Legal Business Name): CHERISH'D
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 W MAIN AVE APT 5
SPOKANE WA
99201-0106
US
IV. Provider business mailing address
22 W MAIN AVE APT 5
SPOKANE WA
99201-0106
US
V. Phone/Fax
- Phone: 509-251-0457
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
PATTON
Title or Position: OWNER
Credential:
Phone: 509-251-0457