MEDICARE: MARTIN & CUMMINGS INTEGRATED HEALTH LLC

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
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1023817657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN & CUMMINGS INTEGRATED HEALTH LLC

Provider Business Mailing Address
First Line	:	1933 SAN MATEO BLVD NE PMB 231
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-5146
Country	:	US
Telephone Number	:	505-908-3826
Fax Number	:	505-966-9597

Provider Business Practice Location Address
First Line	:	3616 CAMPUS BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-1314
Country	:	US
Telephone Number	:	505-908-3826
Fax Number	:	505-966-9597

Authorized Official
Title or Position	:	OFFICE MGR/OWNER
Name	:	AUSTIN CUMMINGS
Credential	:
Telephone Number	:	505-908-3826

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	12/29/2025

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