Provider Demographics
NPI:1700125861
Name:HUNT, TIMOTHY FAY (PT)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:FAY
Last Name:HUNT
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 1:3801 S HIGHLAND COVE LN
Mailing Address - Street 2:#329
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-4223
Mailing Address - Country:US
Mailing Address - Phone:801-274-1390
Mailing Address - Fax:801-274-1690
Practice Address - Street 1:3801 S HIGHLAND COVE LN
Practice Address - Street 2:#329
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-4223
Practice Address - Country:US
Practice Address - Phone:801-274-1390
Practice Address - Fax:801-274-1690
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-10
Last Update Date:2013-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT116341-24012251G0304X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic