Provider Demographics
NPI:1346569399
Name:HARRISON, CYNTHIA CHRISTINE (DPT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CHRISTINE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:CHRISTINE
Other - Last Name:SAPPOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:418 N ANDOVER RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-8903
Mailing Address - Country:US
Mailing Address - Phone:316-733-0077
Mailing Address - Fax:316-733-9007
Practice Address - Street 1:1503 WASHINGTON LN
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-1638
Practice Address - Country:US
Practice Address - Phone:316-775-0700
Practice Address - Fax:316-775-0730
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist