Healthcare Provider Details

I. General information

NPI: 1417984873
Provider Name (Legal Business Name): ROXY L HUNT BS, MS, ATC, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8327 SLEEPING BEAR DR NW
ALBUQUERQUE NM
87120-2968
US

IV. Provider business mailing address

8327 SLEEPING BEAR DR NW
ALBUQUERQUE NM
87120-2968
US

V. Phone/Fax

Practice location:
  • Phone: 505-792-8086
  • Fax:
Mailing address:
  • Phone: 505-792-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number276
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number4591
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: