Healthcare Provider Details
I. General information
NPI: 1548055502
Provider Name (Legal Business Name): HURT&CO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
71 US ROUTE 1 STE D
SCARBOROUGH ME
04074-7174
US
IV. Provider business mailing address
71 US ROUTE 1 STE D
SCARBOROUGH ME
04074-7174
US
V. Phone/Fax
- Phone: 207-619-3202
- Fax: 207-619-5919
- Phone: 207-619-3202
- Fax: 207-619-5919
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MELINDA
A
HURT
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 207-619-3203