Individual provider · NPI-1
Cherisse Meichtry, MS, ATC, PES
Specialist/Technologist, Athletic Trainer · Moorpark, CA
NPI number1053548768
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1053548768
- Entity type
- Individual (NPI-1)
- Name
- Cherisse Meichtry
- Credential
- MS, ATC, PES
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2009
- Certification date
- Sep 2, 2020
- Last updated
- Sep 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Other names
- Cherisse Sherman (Former Name)
Practice location
7075 Campus RdMoorpark, CA 93021-1605
Phone 805-378-1493
Mailing address
7075 Campus RdMoorpark, CA 93021-1605
Phone 805-378-1493
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