Provider Demographics
NPI:1720873136
Name:HOKANSON, CINDI LOU (PTA)
Entity type:Individual
Prefix:
First Name:CINDI
Middle Name:LOU
Last Name:HOKANSON
Suffix:
Gender:
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2096 NICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:LENNON
Mailing Address - State:MI
Mailing Address - Zip Code:48449-9320
Mailing Address - Country:US
Mailing Address - Phone:181-073-0852
Mailing Address - Fax:
Practice Address - Street 1:2096 NICHOLS RD
Practice Address - Street 2:
Practice Address - City:LENNON
Practice Address - State:MI
Practice Address - Zip Code:48449-9320
Practice Address - Country:US
Practice Address - Phone:181-073-0852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502001602225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant