Provider Demographics
NPI:1285371278
Name:DUNLAP, ADAM CHASE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:CHASE
Last Name:DUNLAP
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 GOLDEN PL APT 108
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-6897
Mailing Address - Country:US
Mailing Address - Phone:731-571-9573
Mailing Address - Fax:
Practice Address - Street 1:4442 FRONTAGE RD NW UNIT 1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-2956
Practice Address - Country:US
Practice Address - Phone:423-458-6298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist