Cynthia Seward
Individual provider Active NPI Massage Therapist · De Witt, IA
NPI 1104275296 · NPPES record last updated Jun 8, 2016
Key facts
- NPI
- 1104275296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 24143737 (IA)
- Practice address
- 1419 11TH St
De Witt, IA 52742-1293 - Phone
- (563) 249-0546
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24143737 | IA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24143737 | IA | Yes |
Addresses
Primary practice location
1419 11TH St
De Witt, IA 52742-1293
Mailing address
1413 8TH Ave
Apt. 1
De Witt, IA 52742-2161
Phone (563) 249-0546
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.