Organization
CUMINS THERAPY & FITNESS TRAINING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KENNETH CUMINS MPT (PHYSICAL THERAPIST OWNER)
(540) 985-0463
Entity
Organization
Contact information
Practice address
3308 FRANKLIN ROAD SW, ROANOKE, VA 24014
(540) 985-0463
(540) 985-0464
Mailing address
3308 FRANKLIN ROAD SW, ROANOKE, VA 24014
(540) 985-0463
(540) 985-0464
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305202290
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212228
SOUTHERN HEALTH
VA
01
—
288802
ANTHEM
VA
01
—
7251125
AETNA
—
01
—
7992482
AENTA GROUP
VA
01
—
DA4505
RAILROAD MEDICARE GROUP
VA
01
—
P00045523
RAILROAD MEDICARE
—
Enumeration date
11/02/2006
Last updated
04/20/2008
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