Provider Demographics
NPI:1215724000
Name:CHEEKS, INA L
Entity type:Individual
Prefix:
First Name:INA
Middle Name:L
Last Name:CHEEKS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 TERRA COTTA CV APT 302
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-2871
Mailing Address - Country:US
Mailing Address - Phone:229-296-1796
Mailing Address - Fax:
Practice Address - Street 1:2331 TERRA COTTA CV APT 302
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-2871
Practice Address - Country:US
Practice Address - Phone:229-296-1796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA84344225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist