Provider Demographics
NPI:1952769663
Name:MILLER, CYNTHIA (RYT-500)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:RYT-500
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RYT-500
Mailing Address - Street 1:6200 E CANYON RIM RD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4317
Mailing Address - Country:US
Mailing Address - Phone:714-469-7810
Mailing Address - Fax:
Practice Address - Street 1:6200 E CANYON RIM RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4317
Practice Address - Country:US
Practice Address - Phone:714-469-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist