Provider Demographics
NPI:1447808084
Name:CHENEY, REBECCA A (DPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:CHENEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15811 AMBAUM BLVD SW STE 140
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3066
Mailing Address - Country:US
Mailing Address - Phone:206-327-9880
Mailing Address - Fax:206-327-9977
Practice Address - Street 1:15811 AMBAUM BLVD SW STE 140
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3066
Practice Address - Country:US
Practice Address - Phone:206-327-9880
Practice Address - Fax:206-327-9977
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60973328225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist