Provider Demographics
NPI:1295403947
Name:HATTON, HUNTER THOMAS
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:THOMAS
Last Name:HATTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 REIT RD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:NY
Mailing Address - Zip Code:13464-3123
Mailing Address - Country:US
Mailing Address - Phone:607-244-7675
Mailing Address - Fax:
Practice Address - Street 1:1005 REIT RD
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:NY
Practice Address - Zip Code:13464-3123
Practice Address - Country:US
Practice Address - Phone:607-244-7675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer