Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cheryl Willis, PTA

Individual provider Physical Therapy Assistant · NPI 1609885052

Cheryl Willis, PTA is a Physical Therapy Assistant in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

133 Corporate Dr Ste 2
Bangor, ME 04401-4312
Phone: (207) 992-9286
Fax: (207) 992-9287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PA1383 (ME)

Record details

NPI number1609885052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJanuary 21, 2009

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