Individual
MR. DUSTIN ALLEN HUINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1908 N 203RD ST, SUITE #3, ELKHORN, NE 68022-2889
(402) 289-5013
(402) 289-5018
Mailing address
400 COLLINS RD NE MS: 154 100, CEDAR RAPIDS, IA 52498-0505
(319) 295-8899
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
004261
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099709
MEDICARE GROUP #
NE
05
—
10025112300
—
NE
01
—
216812
COVENTRY
NE
01
—
39960
BLUE CROSS BLUE SHILEDS
NE
01
—
412135956 68022A002
TRIWEST
NE
Enumeration date
02/24/2009
Last updated
07/29/2015
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