Provider Demographics
NPI:1477218329
Name:CRAGHEAD, CHEYENNE D (DC)
Entity Type:Individual
Prefix:DR
First Name:CHEYENNE
Middle Name:D
Last Name:CRAGHEAD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 QUARTZ ISLE DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-1524
Mailing Address - Country:US
Mailing Address - Phone:308-520-1903
Mailing Address - Fax:
Practice Address - Street 1:7075 GRATIOT RD STE 2
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48609-6904
Practice Address - Country:US
Practice Address - Phone:989-781-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor