Individual
BENJAMIN CHEEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4108 BOAT CLUB RD, FORT WORTH, TX 76135-2604
(817) 370-9891
Mailing address
6501 HARRIS PKWY, FORT WORTH, TX 76132-6102
(817) 370-9891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1307530
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307530
PT LICENSE
TX
Enumeration date
10/01/2018
Last updated
06/11/2019
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