Healthcare Provider Details

I. General information

NPI: 1669657862
Provider Name (Legal Business Name): CINDY ZINGLEMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY ROSS DPT

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 08/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E DESERT INN RD SUITE 200
LAS VEGAS NV
89121
US

IV. Provider business mailing address

2800 E DESERT INN RD SUITE 200
LAS VEGAS NV
89121
US

V. Phone/Fax

Practice location:
  • Phone: 702-892-9077
  • Fax: 702-892-9044
Mailing address:
  • Phone: 702-892-9077
  • Fax: 702-892-9044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number2080
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2080
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: