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NPI Code Detail

MEDICARE: CHEYANNA BRANNOCK

MEDICARE: CHEYANNA BRANNOCK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1780547646
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEYANNA BRANNOCK
Provider Business Mailing Address
First Line : 7202 PLAYA BELLA DR
Second Line :
City : BRADENTON
State : FL
Zip : 34209-2451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 BRADEN AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34243-2001
Country : US
Telephone Number : 941-355-7637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ CHEYANNA BRANNOCK ” Practice Location

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