Provider Demographics
NPI:1942625975
Name:CHENEY, REBECCA MAE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MAE
Last Name:CHENEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:MAE
Other - Last Name:HONSOWETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3820 AMERICAN DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6101
Mailing Address - Country:US
Mailing Address - Phone:972-985-6006
Mailing Address - Fax:972-985-6001
Practice Address - Street 1:3820 AMERICAN DR
Practice Address - Street 2:SUITE 170
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6101
Practice Address - Country:US
Practice Address - Phone:972-985-6006
Practice Address - Fax:972-985-6001
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL070015658OtherILLINOIS PT LICENSE (EXPIRED)
ALPTH6359OtherALABAMA PT LICENSE