Provider Demographics
NPI:1255086112
Name:HUNTER, JENNIFER REED (PT, DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:REED
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 CONTINENTAL CIR APT 304
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-1214
Mailing Address - Country:US
Mailing Address - Phone:803-984-4207
Mailing Address - Fax:
Practice Address - Street 1:340 CONTINENTAL CIR APT 304
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1214
Practice Address - Country:US
Practice Address - Phone:803-984-4207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA10875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist