Provider Demographics
NPI:1578671152
Name:WILLIAMS, CINDY S (PT, CHT)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT, CHT
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:KAYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, CHT
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2564
Mailing Address - Country:US
Mailing Address - Phone:423-682-8840
Mailing Address - Fax:423-602-2028
Practice Address - Street 1:6250 COMMERCIAL ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-1333
Practice Address - Country:US
Practice Address - Phone:503-485-1666
Practice Address - Fax:503-581-6867
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16082251H1200X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR111547Medicare PIN