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Individual
ANDREW CHENEY
Active
Individual
ANDREW CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0558
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0558
LAT
SD
01
—
2000029446
ATC
WA
01
—
202225622
LAT
MO
Enumeration date
12/05/2017
Last updated
03/17/2026
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