Provider Demographics
NPI:1619139722
Name:VILLAFUERTE, CYNTHIA SPILKER (PT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:SPILKER
Last Name:VILLAFUERTE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 WINTER WIND ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6699
Mailing Address - Country:US
Mailing Address - Phone:702-869-6714
Mailing Address - Fax:702-869-6714
Practice Address - Street 1:2029 WINTER WIND ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-6699
Practice Address - Country:US
Practice Address - Phone:702-869-6714
Practice Address - Fax:702-869-6714
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12312251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics