Provider Demographics
NPI:1528847050
Name:CHENEY PHYSICAL THERAPY AND SPORTS PERFORMANCE
Entity type:Organization
Organization Name:CHENEY PHYSICAL THERAPY AND SPORTS PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:316-644-6372
Mailing Address - Street 1:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:KS
Mailing Address - Zip Code:67025-0284
Mailing Address - Country:US
Mailing Address - Phone:316-542-1228
Mailing Address - Fax:316-847-8074
Practice Address - Street 1:410 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:KS
Practice Address - Zip Code:67025-8698
Practice Address - Country:US
Practice Address - Phone:316-644-6372
Practice Address - Fax:316-847-8074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty