Provider Demographics
NPI:1487690871
Name:ALYEA, CYNTHIA ADKINSON (PT)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ADKINSON
Last Name:ALYEA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:ADKINSON
Other - Last Name:MAEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:300 TOWER ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-9403
Mailing Address - Country:US
Mailing Address - Phone:770-218-0219
Mailing Address - Fax:770-514-6744
Practice Address - Street 1:1505 STONE BRIDGE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-8252
Practice Address - Country:US
Practice Address - Phone:770-926-6520
Practice Address - Fax:770-926-1359
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0009262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52197989003OtherBCBS DOUGLASVILLE LOCATIO
GA52197989001OtherBCBS WOODSTOCK LOCATION
GA52197989002OtherBCBS AUSTELL LOCATION
GA52197989004OtherBCBS MARIETTA LOCATION
GA52197989001OtherBCBS WOODSTOCK LOCATION
GA52197989004OtherBCBS MARIETTA LOCATION