Provider Demographics
NPI:1386190148
Name:HURST, PAIGE ASHTON
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:ASHTON
Last Name:HURST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:ASHTON
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 REMINGTON CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-8274
Mailing Address - Country:US
Mailing Address - Phone:501-850-8788
Mailing Address - Fax:
Practice Address - Street 1:5 REMINGTON CV
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-8274
Practice Address - Country:US
Practice Address - Phone:501-850-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant