Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHEYENNE TAYLER BOLENBAUGH, CTRS
Active Sole ProprietorCHEYENNE TAYLER BOLENBAUGH, CTRS is a Recreation Therapist healthcare provider located in JACKSON, Michigan. NPI 1952896672 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · JACKSON, MI
Registration Details
- NPI Number
- 1952896672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2018 (8.1022080692997 yrs)
- Last Updated
- Jun 25, 2018
- License
-
80603 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7537 LEE RD APT BJACKSON, MI, 492018152Browse MI providers · Browse ZIP 49201
- Phone
- 5175541491
- Primary Specialty
-
Recreation Therapist
225800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.