Provider Demographics
NPI:1730616848
Name:PAISLEY, CHERITH (DC)
Entity type:Individual
Prefix:
First Name:CHERITH
Middle Name:
Last Name:PAISLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CLARK RD STE C1
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2370
Mailing Address - Country:US
Mailing Address - Phone:941-924-3885
Mailing Address - Fax:
Practice Address - Street 1:3900 CLARK RD STE C1
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2370
Practice Address - Country:US
Practice Address - Phone:618-663-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12170111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor