Provider Demographics
NPI:1033127121
Name:MALAWEY, CYNTHIA M (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:M
Last Name:MALAWEY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:M
Other - Last Name:LIPP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:2308 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3720
Mailing Address - Country:US
Mailing Address - Phone:760-715-4789
Mailing Address - Fax:615-283-8200
Practice Address - Street 1:2308 BROOKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3720
Practice Address - Country:US
Practice Address - Phone:760-715-4789
Practice Address - Fax:615-283-8200
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20832225100000X
TNPT0000010227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist