Provider Demographics
NPI:1154381655
Name:REED, CHERYL TALLANT (ATC)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:TALLANT
Last Name:REED
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16816 423RD PL SE
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-9626
Mailing Address - Country:US
Mailing Address - Phone:425-985-4505
Mailing Address - Fax:
Practice Address - Street 1:1122 228TH AVE SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-9509
Practice Address - Country:US
Practice Address - Phone:425-837-7788
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other