Healthcare Provider Details

I. General information

NPI: 1801783899
Provider Name (Legal Business Name): CYNTHIA ANN TIJERINA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2025
Last Update Date: 06/21/2025
Certification Date: 06/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2107 HAINE DR
HARLINGEN TX
78550-8546
US

IV. Provider business mailing address

412 S RETAMA LN UNIT 4
WESLACO TX
78596-5444
US

V. Phone/Fax

Practice location:
  • Phone: 956-412-3223
  • Fax:
Mailing address:
  • Phone: 956-734-7686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT124106
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: