Provider Demographics
NPI:1598701773
Name:HUNT, HENRY DAVID (DPT, OCS, CSCS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:DAVID
Last Name:HUNT
Suffix:
Gender:M
Credentials:DPT, OCS, CSCS
Other - Prefix:DR
Other - First Name:H
Other - Middle Name:DAVID
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT, OCS, CSCS
Mailing Address - Street 1:205 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1726
Mailing Address - Country:US
Mailing Address - Phone:801-436-3110
Mailing Address - Fax:385-200-2246
Practice Address - Street 1:205 N MAIN ST
Practice Address - Street 2:ADVANCED WELLNESS CENTER
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660
Practice Address - Country:US
Practice Address - Phone:801-436-3110
Practice Address - Fax:385-200-2246
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7654055-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist