Provider Demographics
NPI:1760585020
Name:HUFF, CARL BRADLEY JR (MS,LAT,ATC)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:BRADLEY
Last Name:HUFF
Suffix:JR
Gender:M
Credentials:MS,LAT,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 LOWER TOWER RD
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-9581
Mailing Address - Country:US
Mailing Address - Phone:828-898-3193
Mailing Address - Fax:
Practice Address - Street 1:375 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604
Practice Address - Country:US
Practice Address - Phone:828-898-3193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0551174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist