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NPI Code Detail

MEDICARE: KATELYN SUZANNE CUMMINGS CPO, LPO, MSOP

MEDICARE: KATELYN SUZANNE CUMMINGS CPO, LPO, MSOP
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
1224P00000XProsthetist1875TX
2222Z00000XOrthotist1875TX

General Provider Information

NPI Number : 1407370414
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN SUZANNE CUMMINGS CPO, LPO, MSOP
Provider Business Mailing Address
First Line : 230 SPRING HILL DR STE 335
Second Line :
City : SPRING
State : TX
Zip : 77386-2388
Country : US
Telephone Number : 877-297-8999
Fax Number : 877-206-0482
Provider Business Practice Location Address
First Line : 230 SPRING HILL DR STE 335
Second Line :
City : SPRING
State : TX
Zip : 77386-2388
Country : US
Telephone Number : 877-297-8999
Fax Number : 877-206-0482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2017
Last Update Date : 04/06/2022

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Directions to “ KATELYN SUZANNE CUMMINGS CPO, LPO, MSOP” Practice Location

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