Provider Demographics
NPI:1871040733
Name:PATTON, CHEYENNE (MED, LAT, ATC)
Entity Type:Individual
Prefix:MISS
First Name:CHEYENNE
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:MED, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MCMURRY UNIVERSITY # 188
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79697-0001
Mailing Address - Country:US
Mailing Address - Phone:325-793-4648
Mailing Address - Fax:
Practice Address - Street 1:1 MCMURRY UNIVERSITY # 188
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79697-0001
Practice Address - Country:US
Practice Address - Phone:325-793-4648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-011132255A2300X
24-011132255A2300X
TXAT77212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer