MEDICARE: MS. CYNTHIA PIERRO BS, LMT, CERT. YT

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	MT010967	TX

General Provider Information

NPI Number	:	1780030817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA PIERRO BS, LMT, CERT. YT

Provider Business Mailing Address
First Line	:	3415 DARTMOOR DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-2622
Country	:	US
Telephone Number	:	214-351-5528
Fax Number	:

Provider Business Practice Location Address
First Line	:	6039 SHERRY LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6402
Country	:	US
Telephone Number	:	214-363-5267
Fax Number	:

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

Provider Enumeration Date	:	05/07/2016
Last Update Date	:	05/07/2016

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