Provider Demographics
NPI:1508834292
Name:DUNN, TRAVIS V (PT)
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:V
Last Name:DUNN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:709 SPRING CREEK PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815
Mailing Address - Country:US
Mailing Address - Phone:775-753-6346
Mailing Address - Fax:
Practice Address - Street 1:2001 ERRECART BLVD
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8333
Practice Address - Country:US
Practice Address - Phone:775-738-2925
Practice Address - Fax:775-777-3192
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2088225100000X
AZ5013225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist