Provider Demographics
NPI:1417935123
Name:STRAND, CHERIE L (OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:L
Last Name:STRAND
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 641
Mailing Address - Street 2:
Mailing Address - City:CHALLIS
Mailing Address - State:ID
Mailing Address - Zip Code:83226-0641
Mailing Address - Country:US
Mailing Address - Phone:208-221-8233
Mailing Address - Fax:
Practice Address - Street 1:1 CLINIC DRIVE
Practice Address - Street 2:
Practice Address - City:CHALLIS
Practice Address - State:ID
Practice Address - Zip Code:83226
Practice Address - Country:US
Practice Address - Phone:208-879-4351
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDOT-504225X00000X
IDOT 504225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDW0558OtherBLUE CROSS PROVIDER #
ID000010007553OtherBLUE SHEILD PROVIDER NUMB
ID1655096Medicare ID - Type UnspecifiedMEDICARE PROVIDER #