IndividualActive
Cheyenne Deraymond, MS, LAT, ATC
NPI 1992173504 · Athletic Trainer · Jber, AK
Provider details
- NPI number
- 1992173504
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Practice location
9551 Sijan Ave
Jber, AK 99506-4300
Phone: (610) 657-4038
Approximate (ZIP-level) locationGet directions
Mailing address
3935 San Ernesto Ave Apt 1
Anchorage, AK 99508-2826
Additional practice locations (1)
- 213 W Lincoln StEaston, PA 18042-6652Phone: (610) 657-4038
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2021-08-25
- Certified
- 2021-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.