Provider Demographics
NPI:1972697761
Name:CUMMINGS, RUTH ELLEN (PT)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ELLEN
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12414 ALDERBROOK DR
Mailing Address - Street 2:STE 250
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2480
Mailing Address - Country:US
Mailing Address - Phone:512-834-2225
Mailing Address - Fax:512-834-0477
Practice Address - Street 1:12414 ALDERBROOK DR
Practice Address - Street 2:STE 250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2480
Practice Address - Country:US
Practice Address - Phone:512-834-2225
Practice Address - Fax:512-834-0477
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1098549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist