Provider Demographics
NPI:1215946991
Name:HUNT, HARRISON (PT)
Entity type:Individual
Prefix:
First Name:HARRISON
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20347 TIMBERLAKE RD
Mailing Address - Street 2:STE B
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 CEDAR HILL CT
Practice Address - Street 2:STE C
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-6457
Practice Address - Country:US
Practice Address - Phone:540-586-1138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202047225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA650017304OtherMEDICARE RAILROAD
VA10120691Medicaid
VA10120691Medicaid