Provider Demographics
NPI:1487545620
Name:CUMMINGS, ISAIAH (CSCS)
Entity type:Individual
Prefix:DR
First Name:ISAIAH
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:STATE UNIVERSITY
Mailing Address - State:AR
Mailing Address - Zip Code:72467-0324
Mailing Address - Country:US
Mailing Address - Phone:901-825-8723
Mailing Address - Fax:
Practice Address - Street 1:2401 BERNARD ST STE 3
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6075
Practice Address - Country:US
Practice Address - Phone:870-761-9909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist