Provider Demographics
NPI:1952701351
Name:MIDKIFF, CINDY (ATC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:MIDKIFF
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 LAKE POINT CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6048
Mailing Address - Country:US
Mailing Address - Phone:757-536-7806
Mailing Address - Fax:757-422-2367
Practice Address - Street 1:612 LAKE POINT CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6048
Practice Address - Country:US
Practice Address - Phone:757-536-7806
Practice Address - Fax:757-422-2367
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260000072255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer