Provider Demographics
NPI:1902868508
Name:DUNCAN, EVA RENEE (PT)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:RENEE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:RENEE
Other - Last Name:HUBBARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2701 JONEVA RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1030
Mailing Address - Country:US
Mailing Address - Phone:865-382-0786
Mailing Address - Fax:
Practice Address - Street 1:2701 JONEVA RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-1030
Practice Address - Country:US
Practice Address - Phone:865-382-0786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3911225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3659553Medicaid
9161720OtherAETNA
TN4109999OtherBLUE CROSS BLUE SHIELD
TN3311832OtherCIGNA
TN4109999OtherBLUE CROSS BLUE SHIELD