Healthcare Provider Details

I. General information

NPI: 1306700596
Provider Name (Legal Business Name): CYNTHIA SUE VALLE LMBT, MMT, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

768 W US HIGHWAY 64 STE D
MURPHY NC
28906-8115
US

IV. Provider business mailing address

PO BOX 703
MURPHY NC
28906-0703
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-8080
  • Fax:
Mailing address:
  • Phone: 832-746-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number19565
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: