Provider Demographics
NPI:1740068881
Name:CATHEY, CINDI ANN (PTA)
Entity type:Individual
Prefix:
First Name:CINDI
Middle Name:ANN
Last Name:CATHEY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:CINDI
Other - Middle Name:ANN
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6805 E GALVESTON ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-6906
Mailing Address - Country:US
Mailing Address - Phone:918-812-9540
Mailing Address - Fax:
Practice Address - Street 1:6805 E GALVESTON ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-6906
Practice Address - Country:US
Practice Address - Phone:918-812-9540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1691225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant