Provider Demographics
NPI:1083715643
Name:DAY, CINDY JO (OTR)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:JO
Last Name:DAY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:JO
Other - Last Name:TANGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10351 55TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55319-9720
Mailing Address - Country:US
Mailing Address - Phone:320-743-2567
Mailing Address - Fax:
Practice Address - Street 1:1555 NORTHWAY DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4555
Practice Address - Country:US
Practice Address - Phone:320-259-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN102616225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6403258OtherMEDICA
MNHP45726OtherHEALTH PARTNERS
MN078M5DAOtherBLUE CROSS BLUE SHIELD
MN6403258OtherMEDICA