Provider Demographics
NPI:1346535523
Name:GREENE, CYNTHIA JOLEEN (CRTT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JOLEEN
Last Name:GREENE
Suffix:
Gender:F
Credentials:CRTT
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:J
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRTT
Mailing Address - Street 1:512 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3146
Mailing Address - Country:US
Mailing Address - Phone:785-289-3188
Mailing Address - Fax:785-783-3599
Practice Address - Street 1:512 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3146
Practice Address - Country:US
Practice Address - Phone:785-289-3188
Practice Address - Fax:785-783-3599
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS16-02084227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified