Provider Demographics
NPI:1073613618
Name:DURR, DUNCAN L (PT)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:L
Last Name:DURR
Suffix:
Gender:M
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:PO BOX 559
Mailing Address - Street 2:
Mailing Address - City:MCCLEARY
Mailing Address - State:WA
Mailing Address - Zip Code:98557-0559
Mailing Address - Country:US
Mailing Address - Phone:360-249-4185
Mailing Address - Fax:360-249-4195
Practice Address - Street 1:508 E PIONEER AVE
Practice Address - Street 2:
Practice Address - City:MONTESANO
Practice Address - State:WA
Practice Address - Zip Code:98563-4606
Practice Address - Country:US
Practice Address - Phone:360-249-4185
Practice Address - Fax:360-249-4195
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 00008447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00290702OtherMEDICARE RR #
WA177485OtherLABOR & INDUSTRIES
2765DUOtherREGENCE RIDER
WA8363913Medicaid
P00290702OtherMEDICARE RR #