Provider Demographics
NPI:1609191535
Name:CUMMINGS, TAMMY S (PT)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:S
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 MEADOWHILL LN
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:KY
Mailing Address - Zip Code:42376-9066
Mailing Address - Country:US
Mailing Address - Phone:270-231-6868
Mailing Address - Fax:
Practice Address - Street 1:1102 TRIPLETT ST STE 2300
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3120
Practice Address - Country:US
Practice Address - Phone:502-882-9379
Practice Address - Fax:502-805-0526
Is Sole Proprietor?:No
Enumeration Date:2010-04-03
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100201900Medicaid
KYK036600Medicare PIN