Provider Demographics
NPI:1265250567
Name:DUNN, DANIEL LEWIS (LMT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LEWIS
Last Name:DUNN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 HENDERSON BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3999
Mailing Address - Country:US
Mailing Address - Phone:818-138-6348
Mailing Address - Fax:
Practice Address - Street 1:3502 HENDERSON BLVD STE 226
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3999
Practice Address - Country:US
Practice Address - Phone:818-138-6348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA74756225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist