Provider Demographics
NPI:1194592105
Name:HUNTER, MARIAH ANN GRAUPMANN (PTA)
Entity type:Individual
Prefix:MRS
First Name:MARIAH
Middle Name:ANN GRAUPMANN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:MARIAH
Other - Middle Name:ANN
Other - Last Name:GRAUPMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:2317 TERRACE DR APT C
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-4874
Mailing Address - Country:US
Mailing Address - Phone:254-213-8780
Mailing Address - Fax:
Practice Address - Street 1:706 RED COAT DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-2200
Practice Address - Country:US
Practice Address - Phone:254-742-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2165311208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation