Provider Demographics
NPI:1083199921
Name:KAREN HUNT MASSAGE THERAPY
Entity Type:Organization
Organization Name:KAREN HUNT MASSAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:HUNT-WALDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-269-8886
Mailing Address - Street 1:970 N VAN DYKE RD STE C
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-7910
Mailing Address - Country:US
Mailing Address - Phone:989-269-8886
Mailing Address - Fax:989-269-8886
Practice Address - Street 1:970 N VAN DYKE RD STE C
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-7910
Practice Address - Country:US
Practice Address - Phone:989-269-8886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty