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1366482713

NPI Code Detail

MEDICARE: CHERYL FRENCH NEVIN MS,PT

MEDICARE: CHERYL FRENCH NEVIN MS,PT

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	225100000X	Physical Therapist	PT00003189	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	53646	OTHER	WA	LABOR & INDUSTRIES
2	8910676	OTHER	WA	L&I CRIME VICTIMS PROGRAM
3	7727NE	OTHER	WA	REGENCE BLUESHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366482713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL FRENCH NEVIN MS,PT

Provider Business Mailing Address
First Line	:	9315 GRAVELLY LAKE DR SW
Second Line	:	SUITE 306
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-1574
Country	:	US
Telephone Number	:	253-581-5200
Fax Number	:	253-581-5203

Provider Business Practice Location Address
First Line	:	9514 GRAVELLY LAKE DR SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-1514
Country	:	US
Telephone Number	:	253-983-9395
Fax Number	:	253-983-9411

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	12/29/2010

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Directions to “ CHERYL FRENCH NEVIN MS,PT” Practice Location

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