Individual
JEFFREY D BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7219 N LITCHFIELD RD BLDG 1130, LUKE AFB, AZ 85309-1529
(623) 856-2296
Mailing address
7219 N LITCHFIELD RD BLDG 1130, LUKE AIR FORCE BASE, AZ 85309-1529
(623) 856-2296
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2012027617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012027617
PHYSICAL THERAPY LICENSE
MO
Enumeration date
07/13/2018
Last updated
11/03/2025
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