Provider Demographics
NPI:1376924969
Name:HUNT, LAUREN KAY
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KAY
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ANDERSON
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 ROCKY SLOPE RD
Mailing Address - Street 2:APT 1801
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3946
Mailing Address - Country:US
Mailing Address - Phone:864-787-1076
Mailing Address - Fax:
Practice Address - Street 1:201 ROCKY SLOPE RD
Practice Address - Street 2:APT 1801
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3946
Practice Address - Country:US
Practice Address - Phone:864-787-1076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3230225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant