Healthcare Provider Details

I. General information

NPI: 1952769663
Provider Name (Legal Business Name): CYNTHIA MILLER RYT-500
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CINDY MILLER RYT-500

II. Dates (important events)

Enumeration Date: 02/09/2016
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 E CANYON RIM RD
ANAHEIM CA
92807-4317
US

IV. Provider business mailing address

6200 E CANYON RIM RD
ANAHEIM CA
92807-4317
US

V. Phone/Fax

Practice location:
  • Phone: 714-469-7810
  • Fax:
Mailing address:
  • Phone: 714-469-7810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: