Provider Demographics
NPI:1699441048
Name:DUNNING, ALAINA (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:DUNNING
Suffix:
Gender:F
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 1:1413 PARK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-6028
Mailing Address - Country:US
Mailing Address - Phone:920-659-1153
Mailing Address - Fax:
Practice Address - Street 1:210 N WALTON BLVD STE 26
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-5081
Practice Address - Country:US
Practice Address - Phone:479-440-4147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist