Provider Demographics
NPI:1477000495
Name:DUNN, AMBER (LMT MMP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:LMT MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9065 S PECOS RD STE 240
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7189
Mailing Address - Country:US
Mailing Address - Phone:702-978-9500
Mailing Address - Fax:
Practice Address - Street 1:9065 S PECOS RD STE 240
Practice Address - Street 2:SUITE 240
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7189
Practice Address - Country:US
Practice Address - Phone:702-978-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6687225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist