Cheyenne Musser Gardner, PT
Individual provider Active NPI Physical Therapist · Cedar Bluff, VA
NPI 1902381965 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1902381965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305203642 (VA)
- Practice address
- 196 Cumberland Rd
Cedar Bluff, VA 24609-1137 - Phone
- (276) 964-6702
- Fax
- (276) 964-0292
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203642 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Mountain Community Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203642 | VA | Yes |
Addresses
Primary practice location
196 Cumberland Rd
Cedar Bluff, VA 24609-1137
Mailing address
PO Box 810
Cedar Bluff, VA 24609-0810
Phone (276) 964-6702
Other providers in Cedar Bluff, VA
- Sheena Flanner
- Ashleigh Frazier
- Ashley Elaine Fuller
- Brittany Nicole Fuller
- Galax Treatment Center, LLC
- Genesis Health Care
- Jerry Gray Gilchrist III
- Miranda L Gill
- Benjamin Tyler Brandon Goff
- Roy Clement Gomez
All providers in Cedar Bluff, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.