CHEYENNE TAYLER BOLENBAUGH


Address: 7537 Lee Rd Apt B, Jackson, MI 49201-8152
Phone: 5175541491

CHEYENNE TAYLER BOLENBAUGH (NPI# 1952896672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952896672
Entity Type Individual
Full Name CHEYENNE TAYLER BOLENBAUGH
Credential CTRS
Practice Address 7537 Lee Rd Apt B
Jackson
MI 49201-8152
Practice Telephone 5175541491
Mailing Telephone 5175541491
Enumeration Date 2018-06-25
Last Update Date 2018-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist 80603 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 7537 LEE RD APT B
City JACKSON
State MI
Zip Code 49201-8152

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
Find all providers in zip 49201

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386828853 Kelli M Jones Recreation Therapist 1230 Angus Drive, Jackson, WY 83001 2007-12-20
1881291383 Regina Marie Riley Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-10-07
1932727468 Davis Mckenna Simms Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-10
1154948222 Tiffany Floyd Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-06
1962029389 Devonda Y Elliott Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-01
1427599018 Mark Marble Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2017-03-15
1720469711 Shalonda Knight Recreation Therapist 6204 N State St, Jackson, MS 39213-9731 2015-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861006728 Tara Ann Fedewa Recreation Therapist 915 Laurelwood Dr, Lansing, MI 48917-7725 2020-09-08
1225651714 Caroline Rose Marcon Recreation Therapist 15227 Payne Ct, Dearborn, MI 48126-3030 2020-05-19
1205469897 Megan Groat Recreation Therapist 914 Lake Dr, Oxford, MI 48371-5716 2020-02-21
1215560040 Ashley Melyn Phelps Recreation Therapist 6714 Northland Dr Ne, Rockford, MI 49341-9201 2020-02-20
1538708680 Caylie Hosey Recreation Therapist 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 2020-01-06
1205480472 Keilahna Castillo Recreation Therapist 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 2019-07-26
1134789514 Cynthia Guzi Recreation Therapist 4469 Lutz Dr, Warren, MI 48092-1750 2019-06-18
1780244160 Derenda Lefevre Recreation Therapist 3724 Noble Rd, Oxford, MI 48370-1514 2019-06-18
1407416886 Jenna Black Recreation Therapist 28328 N Skye Dr, Farmington Hills, MI 48334-5335 2019-06-18
1225698608 Carly Jane Rhodea Recreation Therapist 6906 Severance Rd, Cass City, MI 48726-9202 2019-06-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City JACKSON
Zip Code 49201

Improve Information

Please comment or provide details below to improve the information on CHEYENNE TAYLER BOLENBAUGH.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches