Organization
MICHAEL DUNN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MCELHINNEY (PRESIDENT CEO)
(865) 376-3416
Entity
Organization
Contact information
Practice address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 717-4858
Mailing address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 717-4858
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
L 3(20)4M5-056-1346
TN
133V00000X
Registered Dietitian
L 3(20)4M5-056-1346
TN
224Z00000X
Occupational Therapy Assistant
L 3(20)4M5-056-1346
TN
224ZE0001X
Environmental Modification Occupational Therapy Assistant
L 3(20)4M5-056-1346
TN
2251N0400X
Neurology Physical Therapist
L 3(20)4M5-056-1346
TN
2251X0800X
Orthopedic Physical Therapist
L 3(20)4M5-056-1346
TN
225200000X
Physical Therapy Assistant
L 3(20)4M5-056-1346
TN
2355S0801X
Speech-Language Assistant
L 3(20)4M5-056-1346
TN
235Z00000X
Speech-Language Pathologist
L 3(20)4M5-056-1346
TN
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L 3(20)4M5-056-1346
TN
314000000X
Skilled Nursing Facility
L 3(20)4M5-056-1346
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L 3(20)4M5-056-1346
TN
320700000X
Physical Disabilities Residential Treatment Facility
L 3(20)4M5-056-1346
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
L 3(20)4M5-056-1346
TN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
L 3(20)4M5-056-1346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00024-E
—
TN
Enumeration date
03/05/2007
Last updated
11/21/2011
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