MEDICARE: CYNTHIA SPILKER VILLAFUERTE P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	1231	NV
2	225100000X	Physical Therapist	1231	NV

General Provider Information

NPI Number	:	1619139722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA SPILKER VILLAFUERTE P.T.

Provider Business Mailing Address
First Line	:	2029 WINTER WIND ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6699
Country	:	US
Telephone Number	:	702-869-6714
Fax Number	:	702-869-6714

Provider Business Practice Location Address
First Line	:	2029 WINTER WIND ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6699
Country	:	US
Telephone Number	:	702-869-6714
Fax Number	:	702-869-6714

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	01/06/2014

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Directions to “ CYNTHIA SPILKER VILLAFUERTE P.T.” Practice Location

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