Healthcare Provider Details

I. General information

NPI: 1861338204
Provider Name (Legal Business Name): HUNTER PERFORMANCE PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6266 STATE ROUTE 564
MAYFIELD KY
42066-4815
US

IV. Provider business mailing address

6266 STATE ROUTE 564
MAYFIELD KY
42066-4815
US

V. Phone/Fax

Practice location:
  • Phone: 270-970-5113
  • Fax:
Mailing address:
  • Phone: 270-970-5113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SKYLER HUNTER
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 270-970-5113