Provider Demographics
NPI:1508580721
Name:DUNN, KATHRYN DENISE (LAC LMT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:DENISE
Last Name:DUNN
Suffix:
Gender:F
Credentials:LAC LMT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:MCFARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC LMT
Mailing Address - Street 1:10709 CULBERSON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1840
Mailing Address - Country:US
Mailing Address - Phone:970-391-9526
Mailing Address - Fax:
Practice Address - Street 1:10709 CULBERSON DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1840
Practice Address - Country:US
Practice Address - Phone:970-391-9526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC02083171100000X
TXMT119326225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist