Provider Demographics
NPI:1699967570
Name:CUMMINGS-HESSE, AMY LEA (LCMT)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LEA
Last Name:CUMMINGS-HESSE
Suffix:
Gender:F
Credentials:LCMT
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 1284
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1284
Mailing Address - Country:US
Mailing Address - Phone:540-898-9434
Mailing Address - Fax:540-898-9411
Practice Address - Street 1:10411 COURT HOUSE ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553
Practice Address - Country:US
Practice Address - Phone:540-898-9434
Practice Address - Fax:540-898-9411
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019005103225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist