Provider Demographics
NPI:1558119883
Name:BENTLEY-JONES, CINDY (MT)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BENTLEY-JONES
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 LAKELAND EAST DR STE F
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-8819
Mailing Address - Country:US
Mailing Address - Phone:769-226-1925
Mailing Address - Fax:
Practice Address - Street 1:644 LAKELAND EAST DR STE F
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8819
Practice Address - Country:US
Practice Address - Phone:769-226-1925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3793225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist