Provider Demographics
NPI:1336316439
Name:MATTHEWS, CYNTHIA BELL (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:BELL
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:MARIE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:101 CARRINGTON LANE SUITE C
Mailing Address - Street 2:IMPACT REHABILITATION AND SPORTS MEDICINE INC
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040
Mailing Address - Country:US
Mailing Address - Phone:205-621-3077
Mailing Address - Fax:205-621-3788
Practice Address - Street 1:101 CARRINGTON LANE SUITE C
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040
Practice Address - Country:US
Practice Address - Phone:205-621-3077
Practice Address - Fax:205-621-3788
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4274225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist