Provider Demographics
NPI:1497785729
Name:GUNNING, ERIC LLOYD (ATC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:LLOYD
Last Name:GUNNING
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 GARY ST
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-1131
Mailing Address - Country:US
Mailing Address - Phone:509-235-8775
Mailing Address - Fax:
Practice Address - Street 1:PEB 207
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-1131
Practice Address - Country:US
Practice Address - Phone:509-359-6175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer