Provider Demographics
NPI:1902489438
Name:LUMP, COREY JOSEPH (DPT)
Entity Type:Individual
Prefix:
First Name:COREY
Middle Name:JOSEPH
Last Name:LUMP
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 FRANKLIN CIR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8248
Mailing Address - Country:US
Mailing Address - Phone:740-637-0092
Mailing Address - Fax:
Practice Address - Street 1:9240 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9643
Practice Address - Country:US
Practice Address - Phone:614-379-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist