Provider Demographics
NPI:1427512284
Name:WEHUNT, AVERY LAFLEUR
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:LAFLEUR
Last Name:WEHUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 S 10TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76706-2233
Mailing Address - Country:US
Mailing Address - Phone:936-718-6729
Mailing Address - Fax:
Practice Address - Street 1:15023 OLD CONROE RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3260
Practice Address - Country:US
Practice Address - Phone:281-413-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer