Provider Demographics
NPI:1497920581
Name:CINKALA, KRISTA M (LICENSED PHYSICAL TH)
Entity Type:Individual
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First Name:KRISTA
Middle Name:M
Last Name:CINKALA
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Gender:F
Credentials:LICENSED PHYSICAL TH
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Mailing Address - Street 1:1403 MILL RACE DRIVE
Mailing Address - Street 2:HEARTLAND REHABILITATION SERVICES OF VIRGINIA
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153
Mailing Address - Country:US
Mailing Address - Phone:540-444-0526
Mailing Address - Fax:540-444-0531
Practice Address - Street 1:6515 WILLIAMSON ROAD
Practice Address - Street 2:HEARTLAND REHABILITATION SERVICES OF VIRGINIA NORTH ROA
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019
Practice Address - Country:US
Practice Address - Phone:540-366-2243
Practice Address - Fax:540-366-4801
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
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Provider Licenses
StateLicense IDTaxonomies
VA2306001199225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant