Provider Demographics
NPI:1740550748
Name:HUNT, MARSHA A (COTA/L)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:A
Last Name:HUNT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:MARSHA
Other - Middle Name:A
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:9037 DECOURSEY PIKE
Mailing Address - Street 2:
Mailing Address - City:RYLAND HEIGHTS
Mailing Address - State:KY
Mailing Address - Zip Code:41015
Mailing Address - Country:US
Mailing Address - Phone:859-496-8812
Mailing Address - Fax:
Practice Address - Street 1:7300 WOODSPOINT DRIVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042
Practice Address - Country:US
Practice Address - Phone:859-371-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA3054224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant