Provider Demographics
NPI:1932666039
Name:ALLEN, CHEYENNE K (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHEYENNE
Middle Name:K
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHEYENNE
Other - Middle Name:K
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:140 SAVANNAH LN
Mailing Address - Street 2:
Mailing Address - City:ROCKY TOP
Mailing Address - State:TN
Mailing Address - Zip Code:37769-5207
Mailing Address - Country:US
Mailing Address - Phone:423-494-4302
Mailing Address - Fax:678-567-6737
Practice Address - Street 1:140 SAVANNAH LN
Practice Address - Street 2:
Practice Address - City:ROCKY TOP
Practice Address - State:TN
Practice Address - Zip Code:37769-5207
Practice Address - Country:US
Practice Address - Phone:423-494-4302
Practice Address - Fax:678-567-6737
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN12219OtherPT LICENSE