Provider Demographics
NPI:1194019141
Name:CUMMINGS, RUTH ZIMMERMAN (BA, LMT)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ZIMMERMAN
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:BA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9605 ACADEMY HILLS DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1307
Mailing Address - Country:US
Mailing Address - Phone:505-821-9667
Mailing Address - Fax:
Practice Address - Street 1:3711 EUBANK BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3578
Practice Address - Country:US
Practice Address - Phone:505-332-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2085225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist