Provider Demographics
NPI:1588079784
Name:HUNTER, ERIC (PT,DPT, ATC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:HUNTER
Suffix:
Gender:M
Credentials:PT,DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 8TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-2165
Mailing Address - Country:US
Mailing Address - Phone:406-454-0438
Mailing Address - Fax:406-727-8550
Practice Address - Street 1:908 8TH AVE S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-2165
Practice Address - Country:US
Practice Address - Phone:406-454-0438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9063900-48102255A2300X
MT12932225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer