Cynthia Willard, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT003367 Issued in GA

Practice address

2450 Atlanta Hwy
1702B
Cumming, GA 30040-8099

Phone

(770) 722-2711

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2016.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1306200670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "1702B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408099",
            "telephone_number": "770-722-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "1702B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408099",
            "telephone_number": "770-722-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "CYNTHIA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Wiles, MD
• Susan Marie Wiles, OTRL
• Kimberly Lauren Wiley, NP
• Jolanda Catoyia Wilkerson
• Sheryl Ann Wilkerson, MT011922
• David John Willard, PA
• Elizabeth Harrill Willets, CNMT
• Kristen Leigh Willett, D.O.
• William M. Hudson, MD, PC
• Clayton P Williams, DC

• All providers in Cumming, GA
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.