Individual
CHEYENNE MARIE DERAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
9551 SIJAN AVE, JBER, AK 99506-4300
(610) 657-4038
Mailing address
3935 SAN ERNESTO AVE APT 1, ANCHORAGE, AK 99508-2826
(610) 657-4038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2015
Last updated
08/25/2021
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