Provider Demographics
NPI:1932819273
Name:CUMMINGS, MIKAYLA (DC)
Entity Type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 UNIVERSITY AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1462
Mailing Address - Country:US
Mailing Address - Phone:515-223-1222
Mailing Address - Fax:515-223-1221
Practice Address - Street 1:2600 UNIVERSITY AVE STE 212
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1462
Practice Address - Country:US
Practice Address - Phone:515-223-1222
Practice Address - Fax:515-223-1221
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA116404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor