Healthcare Provider Details

I. General information

NPI: 1245197680
Provider Name (Legal Business Name): MEGAN DUNAWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E COURT AVE STE A
SELMER TN
38375-2304
US

IV. Provider business mailing address

257 BANCORP SOUTH PKWY
JACKSON TN
38305-7582
US

V. Phone/Fax

Practice location:
  • Phone: 731-934-2952
  • Fax: 731-256-6894
Mailing address:
  • Phone: 731-660-8781
  • Fax: 731-660-8739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number8150
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: