Individual
MRS. CYNTHIA D. MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
227 N MAIN ST, ROSWELL, NM 88201-4722
(575) 625-2525
(575) 627-5934
Mailing address
227 N MAIN ST, ROSWELL, NM 88201-4722
(575) 625-2525
(575) 627-5934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
381
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72989
—
NM
Enumeration date
01/23/2007
Last updated
08/25/2016
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