Provider Demographics
NPI:1487081055
Name:AKIN, CYNTHIA JOANN
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JOANN
Last Name:AKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:N LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98259-0220
Mailing Address - Country:US
Mailing Address - Phone:360-652-4500
Mailing Address - Fax:360-654-2036
Practice Address - Street 1:17110 16TH DR NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-5415
Practice Address - Country:US
Practice Address - Phone:360-652-4500
Practice Address - Fax:360-654-2036
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC 60247046224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant