David Clark Cummings, LMT
Individual provider Active NPI Massage Therapist · Canby, OR
NPI 1881965382 · NPPES record last updated Jan 16, 2012
Key facts
- NPI
- 1881965382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 12599 (OR)
- Practice address
- 12587 S Union Hall Rd
Canby, OR 97013-8743 - Phone
- (971) 212-1882
- Fax
- (503) 266-5549
- NPI assigned
- Jan 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12599 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12599 | OR | Yes |
Addresses
Primary practice location
12587 S Union Hall Rd
Canby, OR 97013-8743
Mailing address
12587 S Union Hall Rd
Canby, OR 97013-8743
Phone (971) 212-1882
Other providers in Canby, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.