Provider Demographics
NPI:1871790253
Name:DUCKETT, CINDY LYNN (CERTIFIED PILATES IN)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LYNN
Last Name:DUCKETT
Suffix:
Gender:F
Credentials:CERTIFIED PILATES IN
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:LYNN
Other - Last Name:FREEDING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CERTIFIED PILATES IN
Mailing Address - Street 1:10162 W 70TH DR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-1604
Mailing Address - Country:US
Mailing Address - Phone:303-424-6892
Mailing Address - Fax:303-422-2201
Practice Address - Street 1:5709 OLDE WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2534
Practice Address - Country:US
Practice Address - Phone:720-280-7697
Practice Address - Fax:303-422-2201
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist