Provider Demographics
NPI:1952510794
Name:CUMMINGS, BRIAN MITCHELL (CMT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:MITCHELL
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 DANA DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-4051
Mailing Address - Country:US
Mailing Address - Phone:530-223-6479
Mailing Address - Fax:530-223-6491
Practice Address - Street 1:923 DANA DR
Practice Address - Street 2:SUITE 9
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-4051
Practice Address - Country:US
Practice Address - Phone:530-223-6479
Practice Address - Fax:530-223-6491
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist