Cheary D Haney, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT 308 Issued in ID

Practice address

1201 Falls Ave E
Ste 32
Twin Falls, ID 83301-3405

Phone

(208) 316-1719

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cheary D Waters Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1124422399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FALLS AVE E",
            "address_2": "STE 32",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013405",
            "telephone_number": "208-316-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "CHEARY",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "LMT 308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEARY",
            "last_name": "WATERS",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dorothy Hamilton, CADC
• Sean Hammer, M.A., LPC
• Richard J Hammond, M.D.
• Joel Hancock, M.D.
• Kristy Handyside, APRN, WCC
• Charles Spencer Hansen, PT
• Christy Hansen, LPC
• Jared L Hansen, M.D.
• Natalie Hansen, PHARMD
• Tyler Hansen, OTR

• Massage Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.