Basic Information
| Provider Information | |||||||||
| NPI: | 1174910178 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHENEY | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PHYSICAL THERAPIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 625 WALNUT STREET | ||||||||
| Address2: | |||||||||
| City: | MCKEESPORT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126736660 | ||||||||
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| Practice Location | |||||||||
| Address1: | 96 ALLEGHENY RIVER BLVD. | ||||||||
| Address2: | |||||||||
| City: | VERONA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4128287965 | ||||||||
| FaxNumber: | 4128285273 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2015 | ||||||||
| LastUpdateDate: | 04/17/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT023647 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.