Provider Demographics
NPI:1356498026
Name:SLAYBAUGH, CYNTHE (MS, PT)
Entity Type:Individual
Prefix:
First Name:CYNTHE
Middle Name:
Last Name:SLAYBAUGH
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 83RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7508
Mailing Address - Country:US
Mailing Address - Phone:360-352-3400
Mailing Address - Fax:360-956-7068
Practice Address - Street 1:4833 TUMWATER VALLEY DR SE
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-4583
Practice Address - Country:US
Practice Address - Phone:360-352-3400
Practice Address - Fax:360-956-7068
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006724225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist