MEDICARE: MRS. BRENDA KAYE CUMMINGS OTR, CHT

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	225XH1200X	Hand Occupational Therapist	547133	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912905225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRENDA KAYE CUMMINGS OTR, CHT

Provider Business Mailing Address
First Line	:	3744 S TIMBERLINE RD
Second Line	:	SUITE 103
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4333
Country	:	US
Telephone Number	:	970-204-4263
Fax Number	:	970-204-4552

Provider Business Practice Location Address
First Line	:	3744 S TIMBERLINE RD
Second Line	:	SUITE 103
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4333
Country	:	US
Telephone Number	:	970-204-4263
Fax Number	:	970-204-4552

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	03/03/2008

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