Provider Demographics
NPI:1568508133
Name:DUNLEVY, VALARIE ANNE (LMT)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:ANNE
Last Name:DUNLEVY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 3 BOX 543
Mailing Address - Street 2:
Mailing Address - City:LOST CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:26385-9703
Mailing Address - Country:US
Mailing Address - Phone:304-624-3600
Mailing Address - Fax:
Practice Address - Street 1:RR 3 BOX 543
Practice Address - Street 2:
Practice Address - City:LOST CREEK
Practice Address - State:WV
Practice Address - Zip Code:26385-9703
Practice Address - Country:US
Practice Address - Phone:304-624-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19980102225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist