Provider Demographics
NPI:1730287251
Name:MAK, CINDY (MA, ATC, CSCS)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
Last Name:MAK
Suffix:
Gender:F
Credentials:MA, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 KIELY BLVD APT 30
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-4814
Mailing Address - Country:US
Mailing Address - Phone:408-712-4552
Mailing Address - Fax:
Practice Address - Street 1:4200 FARM HILL BLVD
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-1030
Practice Address - Country:US
Practice Address - Phone:650-306-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer