Provider Demographics
NPI:1578217311
Name:EMFINGER, JUSTIN EDWARD (DPT)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:EDWARD
Last Name:EMFINGER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 HUBIES LN
Mailing Address - Street 2:
Mailing Address - City:DONIPHAN
Mailing Address - State:MO
Mailing Address - Zip Code:63935-9086
Mailing Address - Country:US
Mailing Address - Phone:417-838-1783
Mailing Address - Fax:
Practice Address - Street 1:281 HUBIES LN
Practice Address - Street 2:
Practice Address - City:DONIPHAN
Practice Address - State:MO
Practice Address - Zip Code:63935-9086
Practice Address - Country:US
Practice Address - Phone:417-838-1783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013040837225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist