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NPI Code Detail

MEDICARE: CYNDY TRUEBLOOD PT

MEDICARE:   CYNDY  TRUEBLOOD  PT
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
12251G0304XGeriatric Physical Therapist1052041TX
2225100000XPhysical Therapist1052041TX

General Provider Information

NPI Number : 1952945347
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNDY TRUEBLOOD PT
Provider Business Mailing Address
First Line : 10029 CLEMENTE CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78737-1029
Country : US
Telephone Number : 512-296-8185
Fax Number :
Provider Business Practice Location Address
First Line : 10029 CLEMENTE CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78737-1029
Country : US
Telephone Number : 512-296-8185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2019
Last Update Date : 06/24/2021

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