Individual
CHEYENNE CULBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2000 S PALESTINE ST, ATHENS, TX 75751-5610
(903) 676-1000
Mailing address
400 THIGPEN DR APT 201, TYLER, TX 75703-4949
(903) 495-2616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2154929
TX
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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