Cynthia Austin Mobley, LMT

Individual provider Active NPI Massage Therapist · Lake City, FL

NPI 1831424167 · NPPES record last updated Oct 5, 2009

Key facts

NPI
1831424167
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA 54087 (FL)
Practice address
122 SW Sweetbay CT
Lake City, FL 32024-0738
Phone
(850) 510-9857
NPI assigned
Oct 5, 2009
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

LicenseStateTypeSpecialty
MA 54087FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 54087 FL Yes

Addresses

Primary practice location

122 SW Sweetbay CT
Lake City, FL 32024-0738

Mailing address

122 SW Sweetbay CT
Lake City, FL 32024-0738
Phone (850) 510-9857

Other providers in Lake City, FL

All providers in Lake City, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.