Provider Demographics
NPI:1861298580
Name:BARNES, CYNTHIA ANN (NMT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:BARNES
Suffix:
Gender:
Credentials:NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 PESCADERO PL
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3440
Mailing Address - Country:US
Mailing Address - Phone:209-259-7489
Mailing Address - Fax:
Practice Address - Street 1:2512 PESCADERO PL
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3440
Practice Address - Country:US
Practice Address - Phone:209-259-7489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97942225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist