MEDICARE: DUNN & ASSOCIATES PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		KY

General Provider Information

NPI Number	:	1568457018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUNN & ASSOCIATES PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	PO BOX 22184
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40252-0184
Country	:	US
Telephone Number	:	502-899-9363
Fax Number	:	502-899-9365

Provider Business Practice Location Address
First Line	:	4010 DUPONT CIR
Second Line	:	STE 210
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4812
Country	:	US
Telephone Number	:	502-899-9363
Fax Number	:	502-899-9365

Authorized Official
Title or Position	:	OWNER PT
Name	:	MARY SUSAN DUNN
Credential	:	PT
Telephone Number	:	502-899-9363

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	07/21/2022

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