Basic Information
Provider Information
NPI: 1700847456
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALINIKOFF
FirstName: LUCINDA
MiddleName: J
NamePrefix: MS.
NameSuffix:  
Credential: BSPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ALINIKOFF
OtherFirstName: CINDY
OtherMiddleName: J
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: BSPT
OtherLastNameType: 5
Mailing Information
Address1: PO BOX 681478
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370681478
CountryCode: US
TelephoneNumber: 8668009147
FaxNumber: 6155916601
Practice Location
Address1: 740 NASHVILLE PIKE
Address2:  
City: GALLATIN
State: TN
PostalCode: 37066
CountryCode: US
TelephoneNumber: 6154515158
FaxNumber: 6154514033
Other Information
ProviderEnumerationDate: 03/31/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X4260TNY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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