Healthcare Provider Details

I. General information

NPI: 1508834292
Provider Name (Legal Business Name): TRAVIS V. DUNN P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 ERRECART BLVD
ELKO NV
89801-8333
US

IV. Provider business mailing address

709 SPRING CREEK PARKWAY
SPRING CREEK NV
89815
US

V. Phone/Fax

Practice location:
  • Phone: 775-738-2925
  • Fax: 775-777-3192
Mailing address:
  • Phone: 775-753-6346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2088
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5013
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: