Provider Demographics
NPI:1053391896
Name:CUMMINGS, JULIA KAY (PT)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:KAY
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:PSC 47 BOX 651
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AO
Mailing Address - Zip Code:09470
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:423D MEDICAL FLIGHT/SGOH
Practice Address - Street 2:UNIT 5610 BOX 223
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09470-5610
Practice Address - Country:GB
Practice Address - Phone:148-084-4533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6040225100000X
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist