Provider Demographics
NPI:1568824225
Name:HURNI, MICHELE LEIGH (OTR)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LEIGH
Last Name:HURNI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 LONGVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-9519
Mailing Address - Country:US
Mailing Address - Phone:704-708-9928
Mailing Address - Fax:
Practice Address - Street 1:204 E OLD HIGHWAY 74
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-8122
Practice Address - Country:US
Practice Address - Phone:704-283-3066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3726225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist