MEDICARE: CYNTHIA TUMBLESON, PHYSICAL THERAPIST, INC.

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	225100000X	Physical Therapist	PT12358	CA

General Provider Information

NPI Number	:	1154422038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA TUMBLESON, PHYSICAL THERAPIST, INC.

Provider Business Mailing Address
First Line	:	7722 COAST JAY ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-3743
Country	:	US
Telephone Number	:	951-485-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	7722 COAST JAY ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-3743
Country	:	US
Telephone Number	:	951-485-2255
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CYNTHIA LYNN TUMBLESON
Credential	:	D.P.T.
Telephone Number	:	951-237-3086

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	03/29/2018

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