Joel David Dunbar Sr.

Individual provider Active NPI Physical Therapy Assistant · Savannah, MO

NPI 1962040980 · NPPES record last updated Dec 20, 2019

Key facts

NPI
1962040980
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2001028183 (MO)
Practice address
904 S Hall Ave
Savannah, MO 64485-1952
Phone
(816) 324-3185
NPI assigned
Dec 20, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2001028183MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2001028183 MO Yes

Addresses

Primary practice location

904 S Hall Ave
Savannah, MO 64485-1952

Mailing address

904 S Hall Ave
Savannah, MO 64485-1952
Phone (816) 324-9185

Other providers in Savannah, MO

All providers in Savannah, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.