Provider Demographics
NPI:1578998860
Name:HUNSAKER, ADAM SCOTT (MS,LAT,ATC,CSCS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:SCOTT
Last Name:HUNSAKER
Suffix:
Gender:M
Credentials:MS,LAT,ATC,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 N ROOP ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-3113
Mailing Address - Country:US
Mailing Address - Phone:801-860-9712
Mailing Address - Fax:
Practice Address - Street 1:1111 N SALIMAN RD
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-3272
Practice Address - Country:US
Practice Address - Phone:775-283-1798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05063282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer