MEDICARE: REBECCA CHEATHAM ATP

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
1	231HA2400X	Assistive Technology Practitioner Audiologist	99996	TX
2	225CA2400X	Assistive Technology Practitioner Rehabilitation Counselor	99996	TX

General Provider Information

NPI Number	:	1619760287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA CHEATHAM ATP

Provider Business Mailing Address
First Line	:	3419 CEDAR LN
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-3304
Country	:	US
Telephone Number	:	214-725-6384
Fax Number	:

Provider Business Practice Location Address
First Line	:	803 GALLAGHER DR
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-1750
Country	:	US
Telephone Number	:	903-747-1644
Fax Number	:	903-408-6441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	12/15/2025

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Directions to “ REBECCA CHEATHAM ATP” Practice Location

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