Healthcare Provider Details

I. General information

NPI: 1063560746
Provider Name (Legal Business Name): MARGARET MARIE HUNT ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OLYMPIC PLZ UNITED STATES OLYMPIC COMMITTEE
COLORADO SPRINGS CO
80909-5780
US

IV. Provider business mailing address

4617 BALI CT
COLORADO SPRINGS CO
80911-3658
US

V. Phone/Fax

Practice location:
  • Phone: 719-866-4612
  • Fax: 719-632-9282
Mailing address:
  • Phone: 719-390-2957
  • Fax: 719-632-9282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: