Provider Demographics
NPI:1790347953
Name:CUMMINS, DAVID (DPT)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:CUMMINS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5742
Mailing Address - Country:US
Mailing Address - Phone:970-764-4094
Mailing Address - Fax:970-764-4029
Practice Address - Street 1:277 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5742
Practice Address - Country:US
Practice Address - Phone:970-764-4094
Practice Address - Fax:970-764-4029
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0016440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist