Provider Demographics
NPI:1831818012
Name:HUNTER, ROXANNE MICHELLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:MICHELLE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ROXY
Other - Middle Name:
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3407 SPYGLASS CIR
Mailing Address - Street 2:
Mailing Address - City:GATESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76528-2615
Mailing Address - Country:US
Mailing Address - Phone:254-495-6301
Mailing Address - Fax:
Practice Address - Street 1:4723 E US HIGHWAY 84
Practice Address - Street 2:
Practice Address - City:GATESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76528-4415
Practice Address - Country:US
Practice Address - Phone:254-399-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1364489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist