Provider Demographics
NPI:1548467509
Name:SEIGER, CINDY
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
Last Name:SEIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:SEIGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:GARRISON, BLDG. 63, ROOM 202
Mailing Address - Street 2:STOP 8045
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83209-8045
Mailing Address - Country:US
Mailing Address - Phone:208-282-2590
Mailing Address - Fax:
Practice Address - Street 1:GARRISON, BLDG. 63, ROOM 202
Practice Address - Street 2:STOP 8045
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83209-8045
Practice Address - Country:US
Practice Address - Phone:208-282-2590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT292113-2401225100000X
IDID-2094225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT292113-2401OtherPHYSICAL THERAPY LICENSE
IDPT-2094OtherPHYSICAL THERAPY