Doctor Name: | MRS. CINDY DEZARN |
NPI Number: | 1114253895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 005520 |
Business Practice Address: | 376 Manchester Square Shopping Center Manchester, KY - 409624096 |
Business Phone Number: | 6065987673 |
Business Fax Number: | |
Mailing Address: | 67 Cedarbrook Rd, MANCHESTER |
State: | KY |
Postal Code: | 409624096 |
Phone Number: | 6065990969 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2009 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 005520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |