Doctor Name: | MS. CYNTHIA LYONS |
NPI Number: | 1982705455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T., LMT |
License Number: | MA38366 |
Business Practice Address: | 6413 Jack Wright Island Rd St Augustine, FL - 320921910 |
Business Phone Number: | 9046079991 |
Business Fax Number: | |
Mailing Address: | 2220 County Road 210 W, Suite 108; Pmb # 157 SAINT JOHNS |
State: | FL |
Postal Code: | 322594058 |
Phone Number: | 9046079991 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA38366 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |