Provider Demographics
NPI:1285463927
Name:DONAHUE, CYNTHIA (CMT, RMT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:CMT, RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 HIGHLAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:YOUNG HARRIS
Mailing Address - State:GA
Mailing Address - Zip Code:30582-2082
Mailing Address - Country:US
Mailing Address - Phone:561-601-1550
Mailing Address - Fax:
Practice Address - Street 1:2135 TOWN CREEK SCHOOL RD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-5931
Practice Address - Country:US
Practice Address - Phone:561-601-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT014296225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist