Individual
CYNTHIA ANNE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CLT
Contact information
Practice address
221 N EAST AVE # 204, FAYETTEVILLE, AR 72701-5226
(479) 225-5442
Mailing address
222 S MILL AVE, FAYETTEVILLE, AR 72701-6145
(479) 225-5442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9132
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NON BILLING
—
Enumeration date
07/18/2022
Last updated
07/18/2022
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