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NPI Code Detail

MEDICARE: MRS. CYNTHIA LYNN BARTY LMT

MEDICARE: MRS. CYNTHIA LYNN BARTY LMT
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
1225700000XMassage Therapist33.015574OH

General Provider Information

NPI Number : 1962035568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA LYNN BARTY LMT
Provider Business Mailing Address
First Line : 200 BRICKER AVE
Second Line :
City : DAYTON
State : OH
Zip : 45417-7809
Country : US
Telephone Number : 937-689-6142
Fax Number :
Provider Business Practice Location Address
First Line : 5 N MAIN ST
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-1326
Country : US
Telephone Number : 937-890-8660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2020
Last Update Date : 02/21/2020

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