Provider Demographics
NPI:1881693729
Name:GREENFIELD, CYNTHIA ANN (PT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:GREENFIELD
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 1:301 DODSON ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6334
Mailing Address - Country:US
Mailing Address - Phone:432-687-0235
Mailing Address - Fax:432-570-8713
Practice Address - Street 1:301 DODSON ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6334
Practice Address - Country:US
Practice Address - Phone:432-687-0235
Practice Address - Fax:432-570-8713
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPT158345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX456688Medicare ID - Type Unspecified