Provider Demographics
NPI:1952614430
Name:CUMMINGS, JESSICA ELIZABETH (PT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ELIZABETH
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10400 W 103RD ST
Mailing Address - Street 2:SUITE 22
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-2640
Mailing Address - Country:US
Mailing Address - Phone:913-322-4000
Mailing Address - Fax:913-322-4001
Practice Address - Street 1:10400 W 103RD ST
Practice Address - Street 2:SUITE 22
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-2640
Practice Address - Country:US
Practice Address - Phone:913-322-4000
Practice Address - Fax:913-322-4001
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-041372251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic