Provider Demographics
NPI:1457594251
Name:HUNTER, TERRY SHERROD (PT)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:SHERROD
Last Name:HUNTER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4529 VERNON FARMS BLVD
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-0130
Mailing Address - Country:US
Mailing Address - Phone:336-287-7938
Mailing Address - Fax:
Practice Address - Street 1:4529 VERNON FARMS BLVD
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-0130
Practice Address - Country:US
Practice Address - Phone:336-287-7938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist