MEDICARE: DR. JAMES DUFNER PT, DPT

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	1291371	TX

General Provider Information

NPI Number	:	1891225918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DUFNER PT, DPT

Provider Business Mailing Address
First Line	:	800 CRESCENT CENTRE DR STE 300
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7285
Country	:	US
Telephone Number	:	615-656-0379
Fax Number	:	615-656-0942

Provider Business Practice Location Address
First Line	:	102 WONDER WORLD DR STE 104
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-6076
Country	:	US
Telephone Number	:	512-242-9578
Fax Number	:	512-782-2989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2017
Last Update Date	:	10/04/2019

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