Healthcare Provider Details

I. General information

NPI: 1053526616
Provider Name (Legal Business Name): CYNTHIA R. HIGHTOWER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2559 EMOGENE ST
MOBILE AL
36606-1854
US

IV. Provider business mailing address

420 W PINHOOK RD SUITE A
LAFAYETTE LA
70503-2131
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-3300
  • Fax: 251-450-3307
Mailing address:
  • Phone: 337-233-1307
  • Fax: 337-233-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH1225
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: