Provider Demographics
NPI:1649578253
Name:YEPES, CINDY MIRIE (LMT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:MIRIE
Last Name:YEPES
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 1:248 LELAND LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5239
Mailing Address - Country:US
Mailing Address - Phone:561-827-1001
Mailing Address - Fax:
Practice Address - Street 1:248 LELAND LN
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-5239
Practice Address - Country:US
Practice Address - Phone:561-827-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-06
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA59156225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist