Provider Demographics
NPI:1255434510
Name:ROBINSON, CINDY MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:CARROLL
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:888 OLD NAZARETH RD
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-9438
Mailing Address - Country:US
Mailing Address - Phone:502-507-7182
Mailing Address - Fax:502-349-6363
Practice Address - Street 1:888 OLD NAZARETH RD
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-9438
Practice Address - Country:US
Practice Address - Phone:502-507-7182
Practice Address - Fax:502-349-6363
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2013-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001770225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist