Individual
CYNTHIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12636 RESEARCH BLVD, STE C206, AUSTIN, TX 78759-2200
(512) 653-7638
Mailing address
13616 BRIARCREEK LOOP, MANOR, TX 78653-4667
(512) 653-7638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT101610
TX
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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