Provider Demographics
NPI:1902240781
Name:HOOPER, CINDY R (MSED, RCEP)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:R
Last Name:HOOPER
Suffix:
Gender:F
Credentials:MSED, RCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 SUNNYMEADE TRL
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-2358
Mailing Address - Country:US
Mailing Address - Phone:815-739-2708
Mailing Address - Fax:
Practice Address - Street 1:1224 SUNNYMEADE TRL
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-2358
Practice Address - Country:US
Practice Address - Phone:815-748-3727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist