Provider Demographics
NPI:1902225600
Name:ALLEN, CYNTHIA SULLIVAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:SULLIVAN
Last Name:ALLEN
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 1:1125 GLEAVES GLEN DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3443
Mailing Address - Country:US
Mailing Address - Phone:615-403-8568
Mailing Address - Fax:615-936-6144
Practice Address - Street 1:3401 W END AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1042
Practice Address - Country:US
Practice Address - Phone:615-343-1554
Practice Address - Fax:615-936-6144
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000005475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist