Provider Demographics
NPI:1962120329
Name:HOSEA, CHERYL DENISE (LMT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENISE
Last Name:HOSEA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:301 PRUITT RD APT 114
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3022
Mailing Address - Country:US
Mailing Address - Phone:713-927-3291
Mailing Address - Fax:
Practice Address - Street 1:301 PRUITT RD APT 114
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3022
Practice Address - Country:US
Practice Address - Phone:713-927-3291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107684225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist