MEDICARE: CHERYL A RALPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA 32656	FL

General Provider Information

NPI Number	:	1275754079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL A RALPH

Provider Business Mailing Address
First Line	:	13216 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5067
Country	:	US
Telephone Number	:	352-684-8544
Fax Number	:

Provider Business Practice Location Address
First Line	:	13216 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5067
Country	:	US
Telephone Number	:	352-684-8544
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

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Directions to “ CHERYL A RALPH ” Practice Location

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