Provider Demographics
NPI:1326887035
Name:FLERIAGE, CHERYL JANE
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:JANE
Last Name:FLERIAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:JANE
Other - Last Name:TETUAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5331 SW 22ND PL.
Mailing Address - Street 2:SUITE 8
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614
Mailing Address - Country:US
Mailing Address - Phone:785-383-2707
Mailing Address - Fax:
Practice Address - Street 1:5331 SW 22ND PL.
Practice Address - Street 2:SUITE 8
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614
Practice Address - Country:US
Practice Address - Phone:785-383-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier