Provider Demographics
NPI:1689835779
Name:POWELL, CINDY LYNN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LYNN
Last Name:POWELL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 TIMBERLAKE DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-9085
Mailing Address - Country:US
Mailing Address - Phone:541-482-4744
Mailing Address - Fax:
Practice Address - Street 1:330 OAK ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1808
Practice Address - Country:US
Practice Address - Phone:541-482-4744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR28822251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports