Provider Demographics
NPI:1558032201
Name:HUNT, MARGARET RENAE (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:RENAE
Last Name:HUNT
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 CORNERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-5361
Mailing Address - Country:US
Mailing Address - Phone:919-886-8281
Mailing Address - Fax:
Practice Address - Street 1:400 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4456
Practice Address - Country:US
Practice Address - Phone:919-886-8281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0078692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer