Provider Demographics
NPI:1699092015
Name:WARSOLDIER SINGH, MARIA WINONA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:WINONA
Last Name:WARSOLDIER SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:WARSOLDIER SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:1150 HORSEMANS LN
Mailing Address - Street 2:#17
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2567
Mailing Address - Country:US
Mailing Address - Phone:859-270-8784
Mailing Address - Fax:
Practice Address - Street 1:1150 HORSEMANS LN
Practice Address - Street 2:#17
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2567
Practice Address - Country:US
Practice Address - Phone:859-270-8784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-25
Last Update Date:2010-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2735225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist