Healthcare Provider Details

I. General information

NPI: 1780395863
Provider Name (Legal Business Name): CINDY ANN ZAPATA L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2022
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 CHADWICK ST
SILVERTON OR
97381-1422
US

IV. Provider business mailing address

834 CHADWICK ST
SILVERTON OR
97381-1422
US

V. Phone/Fax

Practice location:
  • Phone: 503-508-7342
  • Fax:
Mailing address:
  • Phone: 503-508-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number10604
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: