Provider Demographics
NPI:1750489217
Name:HINKLE, STEPHEN CARL (DPT)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:CARL
Last Name:HINKLE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:15920 S RANCHO SAHUARITA BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-8012
Mailing Address - Country:US
Mailing Address - Phone:520-867-8064
Mailing Address - Fax:520-867-8063
Practice Address - Street 1:15920 S RANCHO SAHUARITA BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-8014
Practice Address - Country:US
Practice Address - Phone:520-867-8064
Practice Address - Fax:520-867-8063
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6998225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist