Provider Demographics
NPI:1982241998
Name:HUNTER, ANISSA D (ND, DD, MH, LMT)
Entity type:Individual
Prefix:DR
First Name:ANISSA
Middle Name:D
Last Name:HUNTER
Suffix:
Gender:F
Credentials:ND, DD, MH, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 HIGHWAY 81 E # 428
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-2978
Mailing Address - Country:US
Mailing Address - Phone:770-906-3257
Mailing Address - Fax:
Practice Address - Street 1:12620 FM 1960 RD W # A4-410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5364
Practice Address - Country:US
Practice Address - Phone:404-996-9044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X, 133NN1002X, 173C00000X, 175F00000X
TX128740225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No173C00000XOther Service ProvidersReflexologist
No175F00000XOther Service ProvidersNaturopath