Provider Demographics
NPI:1134331838
Name:DAWSON, DONNA KAY (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:KAY
Last Name:DAWSON
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 FOX RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23927-4009
Mailing Address - Country:US
Mailing Address - Phone:434-252-3861
Mailing Address - Fax:
Practice Address - Street 1:103 FOX RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23927-4009
Practice Address - Country:US
Practice Address - Phone:434-252-3861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6612251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC#661OtherPHYSICAL THERAPY LICENSE