Provider Demographics
NPI:1578894218
Name:HUNT, SARA JO (OTR/L, ATC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JO
Last Name:HUNT
Suffix:
Gender:
Credentials:OTR/L, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:56465-0069
Mailing Address - Country:US
Mailing Address - Phone:970-846-9121
Mailing Address - Fax:
Practice Address - Street 1:804 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-4441
Practice Address - Country:US
Practice Address - Phone:218-522-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3783225X00000X, 225X00000X
KS24-007252255A2300X
CA19474225X00000X
MN105296225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer