Provider Demographics
NPI:1609156371
Name:MATHEY, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:MATHEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 CHEHALIS VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-8643
Mailing Address - Country:US
Mailing Address - Phone:503-443-1019
Mailing Address - Fax:
Practice Address - Street 1:222 CHEHALIS VALLEY DR
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-8643
Practice Address - Country:US
Practice Address - Phone:503-443-1019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60039706225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant