Provider Demographics
NPI:1821354887
Name:CHENEY, RYAN ELLIOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:ELLIOTT
Last Name:CHENEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 W 7200 S
Mailing Address - Street 2:STE. B
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-3751
Mailing Address - Country:US
Mailing Address - Phone:801-748-0056
Mailing Address - Fax:
Practice Address - Street 1:44 W 7200 S
Practice Address - Street 2:STE. B
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-3751
Practice Address - Country:US
Practice Address - Phone:801-748-0056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8264089-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor