Provider Demographics
NPI:1326436924
Name:MCGUFF, NICOLE HUNTER (LAT, ATC)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:HUNTER
Last Name:MCGUFF
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 GWINMAR RD
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-8488
Mailing Address - Country:US
Mailing Address - Phone:704-999-8406
Mailing Address - Fax:
Practice Address - Street 1:1015 GWINMAR RD
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-8488
Practice Address - Country:US
Practice Address - Phone:704-999-8406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23502255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer