Provider Demographics
NPI:1952621815
Name:HUNT, SINTHEA KIM (LMT)
Entity type:Individual
Prefix:MS
First Name:SINTHEA
Middle Name:KIM
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 1:341 2ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-2751
Mailing Address - Country:US
Mailing Address - Phone:541-981-9823
Mailing Address - Fax:541-812-1411
Practice Address - Street 1:341 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2751
Practice Address - Country:US
Practice Address - Phone:541-981-9823
Practice Address - Fax:541-812-1411
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16552225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR16552OtherSTATE LICENSE