Provider Demographics
NPI:1558763946
Name:DUNN, DEBORAH MICHELLE (PT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MICHELLE
Last Name:DUNN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:MICHELLE
Other - Last Name:KENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, OCS
Mailing Address - Street 1:40 LONE PINE DR
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:NC
Mailing Address - Zip Code:28773-9761
Mailing Address - Country:US
Mailing Address - Phone:561-504-6511
Mailing Address - Fax:
Practice Address - Street 1:40 LONE PINE DR
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:NC
Practice Address - Zip Code:28773-9761
Practice Address - Country:US
Practice Address - Phone:561-504-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011718225100000X
SC7726225100000X
NCP15143225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist