Individual provider · Type 1 NPI
Cheyenne Tayler Bolenbaugh, CTRS
Recreation Therapist · Jackson, MI
NPI number
1952896672
Active
Practice location
7537 Lee Rd Apt B
Jackson, MI 49201-8152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | 80603 (MI) |
Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
About NPI 1952896672
Cheyenne Tayler Bolenbaugh, CTRS's National Provider Identifier is 1952896672, issued on Jun 25, 2018. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Jackson, MI. The record was last updated on Jun 25, 2018.