Most Relevant Information
Provider Data
| NPI Number: | 1003174855 |
| Provider Name: | CHERYL LASSELLE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5876-24 |
Most Important Dates
| Enumeration Date: | 04/30/2012 |
| Last Updated: | 04/30/2012 |
Provider Practice Location
2210 N FANCHER RD
MOUNT PLEASANT
WI
534062051
Practice Location Phone/Fax
| Phone: | 2628861956 |
| Fax: |
Provider Mailing Location
2210 N FANCHER RD
MOUNT PLEASANT
WI
534062051
Provider Mailing Phone/Fax
| Phone: | 2628861956 |
| Fax: |