Provider Demographics
NPI:1538796958
Name:HERMAN, CINDY A (LMT)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:A
Last Name:HERMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 W FRANKLIN TER
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8406
Mailing Address - Country:US
Mailing Address - Phone:630-967-8528
Mailing Address - Fax:
Practice Address - Street 1:3325 W FRANKLIN TER
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8406
Practice Address - Country:US
Practice Address - Phone:630-967-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13211-146225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist