Provider Demographics
NPI:1528286754
Name:ZECH, CINDY (PT, MED)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:ZECH
Suffix:
Gender:F
Credentials:PT, MED
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:BURKHART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 5265
Mailing Address - Street 2:
Mailing Address - City:BLAKELY ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98222-5201
Mailing Address - Country:US
Mailing Address - Phone:360-375-6068
Mailing Address - Fax:
Practice Address - Street 1:8 MARINE DR
Practice Address - Street 2:
Practice Address - City:BLAKELY ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98222-5038
Practice Address - Country:US
Practice Address - Phone:360-375-6068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA29042251X0800X
WAPT2904225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA50-6570Medicare ID - Type Unspecified