IndividualActive
Derek Bunker, PT
NPI 1295509545 · Geriatric Physical Therapist · Queen Creek, AZ
Provider details
- NPI number
- 1295509545
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 011143 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21351 E Nightingale Rd
Queen Creek, AZ 85142-3303
Phone: (480) 329-9018
Approximate (ZIP-level) locationGet directions
Mailing address
21351 E Nightingale Rd
Queen Creek, AZ 85142-3303
Registry dates
- Enumerated
- 2023-11-07
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.