Provider Demographics
NPI:1841506771
Name:HEALTH 1ST PHYISCAL THERAPY
Entity type:Organization
Organization Name:HEALTH 1ST PHYISCAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:765-643-8781
Mailing Address - Street 1:2976 N SCATTERFIELD RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-1585
Mailing Address - Country:US
Mailing Address - Phone:765-643-8781
Mailing Address - Fax:
Practice Address - Street 1:2976 N SCATTERFIELD RD
Practice Address - Street 2:SUITE 150
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-1585
Practice Address - Country:US
Practice Address - Phone:765-643-8781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty