Provider Demographics
NPI:1457999120
Name:CHENAULT, HAYDEN LOUIS (OTDR/L)
Entity Type:Individual
Prefix:DR
First Name:HAYDEN
Middle Name:LOUIS
Last Name:CHENAULT
Suffix:
Gender:M
Credentials:OTDR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MAPLE ST APT 3207
Mailing Address - Street 2:
Mailing Address - City:N LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-5486
Mailing Address - Country:US
Mailing Address - Phone:501-215-1654
Mailing Address - Fax:
Practice Address - Street 1:6124 NORTHMOOR DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-2504
Practice Address - Country:US
Practice Address - Phone:501-687-2000
Practice Address - Fax:501-687-1999
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3346225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist