Provider Demographics
NPI:1528265386
Name:HAYES, CYNTHIAANN LEE (LMT, RRT)
Entity type:Individual
Prefix:MS
First Name:CYNTHIAANN
Middle Name:LEE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LMT, RRT
Other - Prefix:
Other - First Name:CYNTHIAANN
Other - Middle Name:LEE
Other - Last Name:HAYES-HURST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOM, ACUPUNCTURE PHY
Mailing Address - Street 1:1101 DRIFTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982-3317
Mailing Address - Country:US
Mailing Address - Phone:772-521-3638
Mailing Address - Fax:772-595-3599
Practice Address - Street 1:800 VIRGINIA AVE STE 57
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-5892
Practice Address - Country:US
Practice Address - Phone:772-521-3638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21623225700000X
FL4199227900000X
FLAP3906171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered