Individual
BRYAN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
10103 N DIVISION ST, SUITE 100, SPOKANE, WA 99218-1380
(509) 464-0878
(509) 462-0018
Mailing address
7407 W RIDGECREST AVE, NINE MILE FALLS, WA 99026-8620
(509) 279-0953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196802
DEPT. OF LABOR & INDUSTRY
WA
01
—
4588CU
REGENCE RIDER #
WA
01
—
7995150
AETNA
WA
01
—
8424913
DSHS
WA
05
—
8424913
—
WA
01
—
8905656
L & I CRIME VICTIMS
WA
01
—
911745305-98208-B028
TRICARE
WA
Enumeration date
04/06/2006
Last updated
07/31/2007
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