Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cheyenne Tayler Bolenbaugh, CTRS

Individual provider Recreation Therapist · NPI 1952896672

Cheyenne Tayler Bolenbaugh, CTRS is a Recreation Therapist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

7537 Lee Rd Apt B
Jackson, MI 49201-8152
Phone: (517) 554-1491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 80603 (MI)

Record details

NPI number1952896672
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedJune 25, 2018
Last updated in NPPESJune 25, 2018

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