Healthcare Provider Details

I. General information

NPI: 1881491587
Provider Name (Legal Business Name): CINDY VILLASANA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12505 HYMEADOW DR
AUSTIN TX
78750-1867
US

IV. Provider business mailing address

3421 APPLE CT
CLEBURNE TX
76031-0718
US

V. Phone/Fax

Practice location:
  • Phone: 512-238-0762
  • Fax:
Mailing address:
  • Phone: 817-995-6086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1405563
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: