Provider Demographics
NPI:1417984873
Name:HUNT, ROXY L (BS, MS, ATC, LMT)
Entity Type:Individual
Prefix:
First Name:ROXY
Middle Name:L
Last Name:HUNT
Suffix:
Gender:F
Credentials:BS, MS, ATC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8327 SLEEPING BEAR DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2968
Mailing Address - Country:US
Mailing Address - Phone:505-792-8086
Mailing Address - Fax:
Practice Address - Street 1:8327 SLEEPING BEAR DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2968
Practice Address - Country:US
Practice Address - Phone:505-792-8086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2762255A2300X
NM4591225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist