Provider Demographics
NPI:1730521832
Name:GRAHAM, CHERYL CATHERINE (DC)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:CATHERINE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 RIVER ST STE 5
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2748
Mailing Address - Country:US
Mailing Address - Phone:831-515-9004
Mailing Address - Fax:
Practice Address - Street 1:710 RIVER ST STE 5
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2748
Practice Address - Country:US
Practice Address - Phone:831-515-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor