Provider Demographics
NPI:1407180193
Name:FOWLER, CINDY D (AAS PTA)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:D
Last Name:FOWLER
Suffix:
Gender:F
Credentials:AAS PTA
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:D
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AAS PTA
Mailing Address - Street 1:7629 CHICKAREE PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-8412
Mailing Address - Country:US
Mailing Address - Phone:303-979-0676
Mailing Address - Fax:303-957-5512
Practice Address - Street 1:7629 CHICKAREE PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-8412
Practice Address - Country:US
Practice Address - Phone:303-979-0676
Practice Address - Fax:303-957-5512
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant