Provider Demographics
NPI:1518553080
Name:HUNT, PAYTON (DC)
Entity Type:Individual
Prefix:
First Name:PAYTON
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WIBAUX ST S # 372
Mailing Address - Street 2:
Mailing Address - City:WIBAUX
Mailing Address - State:MT
Mailing Address - Zip Code:59353-9709
Mailing Address - Country:US
Mailing Address - Phone:406-989-0393
Mailing Address - Fax:
Practice Address - Street 1:101 WIBAUX ST S
Practice Address - Street 2:
Practice Address - City:WIBAUX
Practice Address - State:MT
Practice Address - Zip Code:59353-9709
Practice Address - Country:US
Practice Address - Phone:406-989-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor