Provider Demographics
NPI:1568760965
Name:TUNNELL, DEANNA LEIGH (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:LEIGH
Last Name:TUNNELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:LEIGH
Other - Last Name:PRESLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 OLD WARREN RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-9723
Mailing Address - Country:US
Mailing Address - Phone:870-367-1548
Mailing Address - Fax:
Practice Address - Street 1:1200 OLD WARREN RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-9723
Practice Address - Country:US
Practice Address - Phone:870-367-1548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2015-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1203889225100000X
ARPT3946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist