Provider Demographics
NPI:1568457018
Name:DUNN & ASSOCIATES PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:DUNN & ASSOCIATES PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:502-899-9363
Mailing Address - Street 1:PO BOX 22184
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40252-0184
Mailing Address - Country:US
Mailing Address - Phone:502-899-9363
Mailing Address - Fax:502-899-9365
Practice Address - Street 1:4010 DUPONT CIR
Practice Address - Street 2:STE 210
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4812
Practice Address - Country:US
Practice Address - Phone:502-899-9363
Practice Address - Fax:502-899-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6880Medicare ID - Type Unspecified