Provider Demographics
NPI:1134575582
Name:HUNT, CAROL KNIERIM (PT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:KNIERIM
Last Name:HUNT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:K
Other - Last Name:KNIERIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7042 LOCKSLIE WAY
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-2243
Mailing Address - Country:US
Mailing Address - Phone:597-795-3608
Mailing Address - Fax:
Practice Address - Street 1:13955 W PRESERVE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-7733
Practice Address - Country:US
Practice Address - Phone:952-890-0804
Practice Address - Fax:952-890-1095
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05006877A225100000X
KY004087225100000X
MN10225225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist