Cheryl Blauth
Specialist/Technologist, Athletic Trainer in Boston, MA. Individual provider (NPI-1).
NPI number1578680906
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1578680906
- Entity type
- Individual (NPI-1)
- Name
- Cheryl Blauth
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 01752 | MA | Yes |
Practice location
360 Huntington AveNortheastern Department Of Athletics 219 Cabot Center
Boston, MA 02115-5005
Phone 617-373-4068
Mailing address
Northeastern University 219 Cabot CenterDepartment Of Athletics
Boston, MA 02115-5000
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