Provider Demographics
NPI:1538122643
Name:DUNKENBERGER, ALLISON REESE (PT, MS)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:REESE
Last Name:DUNKENBERGER
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S MAIN ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6600
Mailing Address - Country:US
Mailing Address - Phone:540-552-2294
Mailing Address - Fax:540-552-2296
Practice Address - Street 1:1901 S MAIN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6600
Practice Address - Country:US
Practice Address - Phone:540-552-2294
Practice Address - Fax:540-552-2296
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203350225100000X
NC2857225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7859079OtherAETNA
VA1649360686OtherANTHEM
NC07940OtherBCBS NC
S83365Medicare UPIN
VA004479C02Medicare PIN
VA1649360686OtherANTHEM