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

Chyenne Bolton

Individual provider Recreation Therapist · NPI 1083387005

Chyenne Bolton is a Recreation Therapist in Fort Worth, Texas. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

5417 Tuxbury Pond Dr
Fort Worth, TX 76179-1490
Phone: (601) 307-2437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 64972 (FL)

Record details

NPI number1083387005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address5417 Tuxbury Pond Dr, Fort Worth, TX 76179-1490

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