Provider Demographics
NPI:1164814919
Name:MINEHART, CINDI KAY (LMT)
Entity Type:Individual
Prefix:MRS
First Name:CINDI
Middle Name:KAY
Last Name:MINEHART
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 TAMA ST SE
Mailing Address - Street 2:STE. 300
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-4556
Mailing Address - Country:US
Mailing Address - Phone:319-361-1740
Mailing Address - Fax:
Practice Address - Street 1:4700 TAMA ST SE
Practice Address - Street 2:STE. 300
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-4556
Practice Address - Country:US
Practice Address - Phone:319-361-1740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02942173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist