Provider Demographics
NPI:1306234034
Name:TARHI, CHERYL
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:TARHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 TALBOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-8219
Mailing Address - Country:US
Mailing Address - Phone:502-265-1145
Mailing Address - Fax:
Practice Address - Street 1:524 TALBOTT BLVD
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-8219
Practice Address - Country:US
Practice Address - Phone:502-265-1145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA5537171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor