Provider Demographics
NPI:1255653093
Name:DUNNING, NANCY GIVEN (PT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:GIVEN
Last Name:DUNNING
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 1:11536 GATES MILL DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1757
Mailing Address - Country:US
Mailing Address - Phone:865-705-9416
Mailing Address - Fax:865-675-0729
Practice Address - Street 1:1094 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1364
Practice Address - Country:US
Practice Address - Phone:865-458-8900
Practice Address - Fax:865-458-8626
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-21
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000000485225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist