Provider Demographics
NPI:1689083636
Name:PINKNEY, JOSHUA JOHN (MS, LAT, ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JOHN
Last Name:PINKNEY
Suffix:
Gender:M
Credentials:MS, LAT, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 NEBRASKA AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-3529
Mailing Address - Country:US
Mailing Address - Phone:952-297-6370
Mailing Address - Fax:
Practice Address - Street 1:600 HENNEPIN AVE STE 310
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-1813
Practice Address - Country:US
Practice Address - Phone:612-313-0528
Practice Address - Fax:612-313-0522
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26492255A2300X
GAAT0018102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer