Provider Demographics
NPI:1629585708
Name:LEDET, CINDA ANN (LMT)
Entity Type:Individual
Prefix:
First Name:CINDA
Middle Name:ANN
Last Name:LEDET
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 1:970 S ACADIA RD
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4978
Mailing Address - Country:US
Mailing Address - Phone:985-446-2403
Mailing Address - Fax:985-446-9954
Practice Address - Street 1:970 S ACADIA RD
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4978
Practice Address - Country:US
Practice Address - Phone:985-446-2403
Practice Address - Fax:985-446-9954
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA7293225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist