Provider Demographics
NPI:1871819516
Name:HUNT, KATHLEEN J (LMT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:J
Last Name:HUNT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1007
Mailing Address - Country:US
Mailing Address - Phone:603-479-9102
Mailing Address - Fax:978-688-0607
Practice Address - Street 1:28 ANDOVER ST
Practice Address - Street 2:SUITE 230
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-4888
Practice Address - Country:US
Practice Address - Phone:603-479-9102
Practice Address - Fax:978-688-0607
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1018225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist