Provider Demographics
NPI:1821247818
Name:HUNSICKER, AMBER II
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:HUNSICKER
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6487
Mailing Address - Country:US
Mailing Address - Phone:740-387-7537
Mailing Address - Fax:740-383-2866
Practice Address - Street 1:175 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6487
Practice Address - Country:US
Practice Address - Phone:740-387-7537
Practice Address - Fax:740-383-2866
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05951225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant