Provider Demographics
NPI:1558905612
Name:GALEA, CINTHYA THERESA-JO (LMT)
Entity Type:Individual
Prefix:
First Name:CINTHYA
Middle Name:THERESA-JO
Last Name:GALEA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 COUTON DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3003
Mailing Address - Country:US
Mailing Address - Phone:251-706-9205
Mailing Address - Fax:
Practice Address - Street 1:1120 HILLCREST RD STE 2U
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3968
Practice Address - Country:US
Practice Address - Phone:251-706-9205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4029225700000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty