Provider Demographics
NPI:1720334907
Name:HUNT, HAYLEY ANNE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:HAYLEY
Middle Name:ANNE
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 1:2605 KINARD ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2967
Mailing Address - Country:US
Mailing Address - Phone:803-276-4860
Mailing Address - Fax:803-276-2812
Practice Address - Street 1:2605 KINARD ST
Practice Address - Street 2:SUITE 208
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2967
Practice Address - Country:US
Practice Address - Phone:803-276-4860
Practice Address - Fax:803-276-2812
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMAS. 8167225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist