Provider Demographics
NPI:1609966449
Name:FLUITT, CINDY A (MPT)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:A
Last Name:FLUITT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7140 S 29TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5802
Mailing Address - Country:US
Mailing Address - Phone:402-421-2100
Mailing Address - Fax:402-421-2104
Practice Address - Street 1:7140 S 29TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5802
Practice Address - Country:US
Practice Address - Phone:402-421-2100
Practice Address - Fax:402-421-2104
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024963200Medicaid
NE099315Medicare ID - Type Unspecified