Healthcare Provider Details

I. General information

NPI: 1942175609
Provider Name (Legal Business Name): CYNTHIA RAEL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 ARION PKWY STE 434 BLDG 4, STE. 434
SAN ANTONIO TX
78216-2837
US

IV. Provider business mailing address

814 ARION PKWY STE 434
SAN ANTONIO TX
78216-2837
US

V. Phone/Fax

Practice location:
  • Phone: 210-499-0063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number13717
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: