Provider Demographics
NPI:1134320369
Name:MASCARI, CYNTHIA ANNETTE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANNETTE
Last Name:MASCARI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 112TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-9175
Mailing Address - Country:US
Mailing Address - Phone:425-316-3444
Mailing Address - Fax:
Practice Address - Street 1:4820 112TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-9175
Practice Address - Country:US
Practice Address - Phone:425-316-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer