Provider Demographics
NPI:1417731068
Name:HUNTER, WENDY A (LMT, RN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LMT, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2961
Mailing Address - Country:US
Mailing Address - Phone:541-225-7355
Mailing Address - Fax:
Practice Address - Street 1:115 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2961
Practice Address - Country:US
Practice Address - Phone:541-343-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist