Provider Demographics
NPI:1548596547
Name:PARKHURST, DEANNA K (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:K
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 CHATHAM RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3231
Mailing Address - Country:US
Mailing Address - Phone:614-961-7055
Mailing Address - Fax:
Practice Address - Street 1:1282 CHATHAM RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3231
Practice Address - Country:US
Practice Address - Phone:614-961-7055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH42502251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology