Healthcare Provider Details

I. General information

NPI: 1922253285
Provider Name (Legal Business Name): CINDY KAY MIDDLETON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2008
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 ARTHUR WALTER CT
WARNER ROBINS GA
31088-1502
US

IV. Provider business mailing address

103 ARTHUR WALTER CT
WARNER ROBINS GA
31088-1502
US

V. Phone/Fax

Practice location:
  • Phone: 478-972-0358
  • Fax:
Mailing address:
  • Phone: 478-972-0358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT005659
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: