Provider Demographics
NPI:1437226792
Name:EHRHARDT, CYNTHIA PRICE (LMT,CNMT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:PRICE
Last Name:EHRHARDT
Suffix:
Gender:F
Credentials:LMT,CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 SE PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3202
Mailing Address - Country:US
Mailing Address - Phone:772-215-5568
Mailing Address - Fax:772-219-8709
Practice Address - Street 1:300 COLORADO AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2103
Practice Address - Country:US
Practice Address - Phone:772-215-5568
Practice Address - Fax:772-219-8709
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0008301225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist