MS. CHERRY COOPER TULL NPI 1477820090

NPI Information

NPI: 1477820090
Provider Name: MS. CHERRY COOPER TULL
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address:
1400 MILLGATE DR
SUITE A
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 659-6063
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MS. Cherry Cooper Tull is a pedorthist in Winston Salem, NC. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. MS. Cherry Cooper Tull NPI is 1477820090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 MILLGATE DR
SUITE A
WINSTON SALEM, NC
ZIP 27103-338
Phone: (336) 659-6063
Fax: (336) 659-6062

The enumeration date for this NPI number is 11/28/2011 and was last updated on 7/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	224P00000X	Prosthetist	CPED3362	DELAWARE	No
2	225000000X	Orthotic Fitter	CPED3362	DELAWARE	No
3	224L00000X	Pedorthist	CPED3362	DELAWARE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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