MEDICARE: CYNTHIA FERRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MSG000951	PA

General Provider Information

NPI Number	:	1124565627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA FERRIS

Provider Business Mailing Address
First Line	:	1038 COLUMBIA AVE
Second Line	:	LOWER LEVEL STUDIO
City	:	LANCASTER
State	:	PA
Zip	:	17603-3156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1038 COLUMBIA AVE
Second Line	:	LOWER LEVEL STUDIO
City	:	LANCASTER
State	:	PA
Zip	:	17603-3156
Country	:	US
Telephone Number	:	717-201-5844
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2017
Last Update Date	:	01/23/2017

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