MEDICARE: MRS. CINDY S SUMMERS LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	1999-0244	WV
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1427278324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CINDY S SUMMERS LMT

Provider Business Mailing Address
First Line	:	231 MOCKINGBIRD LN
Second Line	:
City	:	FAIRMONT
State	:	WV
Zip	:	26554-9394
Country	:	US
Telephone Number	:	304-366-7736
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 SMITHTOWN RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26508-2318
Country	:	US
Telephone Number	:	304-216-9025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	02/12/2026

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