Provider Demographics
NPI:1164481420
Name:HUNT, JOHN DAVID (PT ATC L CSCS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:HUNT
Suffix:
Gender:M
Credentials:PT ATC L CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1729 N SHENANDOAH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3643
Mailing Address - Country:US
Mailing Address - Phone:540-636-6179
Mailing Address - Fax:540-636-8753
Practice Address - Street 1:3127 VALLEY AVENUE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2635
Practice Address - Country:US
Practice Address - Phone:540-667-1800
Practice Address - Fax:540-667-3839
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305204133225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00X330H01Medicare PIN