Provider Demographics
NPI:1467550962
Name:HUNT, ADDIE R (PT)
Entity Type:Individual
Prefix:MS
First Name:ADDIE
Middle Name:R
Last Name:HUNT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:ADDIE
Other - Middle Name:R
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:1101 BIBB ST.
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE INSTITUTE
Mailing Address - State:AL
Mailing Address - Zip Code:36088
Mailing Address - Country:US
Mailing Address - Phone:334-727-0550
Mailing Address - Fax:334-725-3075
Practice Address - Street 1:2400 HOSPITAL RD.
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083
Practice Address - Country:US
Practice Address - Phone:334-727-0550
Practice Address - Fax:334-725-3075
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1073112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist