Provider Demographics
NPI:1518443506
Name:WRIGHT, HUNTER MICHAEL (MS, SCAT, ATC)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:MICHAEL
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MS, SCAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 CAROLINA BAY DR
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-3429
Mailing Address - Country:US
Mailing Address - Phone:479-372-7355
Mailing Address - Fax:
Practice Address - Street 1:9200 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9121
Practice Address - Country:US
Practice Address - Phone:843-863-7484
Practice Address - Fax:843-863-7269
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3093402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer