Provider Demographics
NPI:1538986369
Name:HUNT, RITA K (CRANIAL PROTHESIS)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:K
Last Name:HUNT
Suffix:
Gender:F
Credentials:CRANIAL PROTHESIS
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:K
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7369 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HURT
Mailing Address - State:VA
Mailing Address - Zip Code:24563-3422
Mailing Address - Country:US
Mailing Address - Phone:434-324-0044
Mailing Address - Fax:
Practice Address - Street 1:221 MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:HURT
Practice Address - State:VA
Practice Address - Zip Code:24563-3905
Practice Address - Country:US
Practice Address - Phone:434-324-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier