Individual
MRS. CHEYENNE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1609 W ELM ST, EL RENO, OK 73036-4261
(405) 467-6782
Mailing address
1609 W ELM ST, EL RENO, OK 73036-4261
(405) 467-6782
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
6348
OK
225100000X
Physical Therapist
Primary
6348
OK
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
1022
OK
Other
Enumeration date
02/06/2018
Last updated
09/19/2024
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