Provider Demographics
NPI:1407498439
Name:GUIZAR, CINDY MARIE (LMT, DC)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:MARIE
Last Name:GUIZAR
Suffix:
Gender:F
Credentials:LMT, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 W 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3827
Mailing Address - Country:US
Mailing Address - Phone:541-243-7697
Mailing Address - Fax:541-543-2122
Practice Address - Street 1:591 W 19TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3827
Practice Address - Country:US
Practice Address - Phone:541-243-7697
Practice Address - Fax:541-543-2122
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25095225700000X
OR6310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist