Provider Demographics
NPI:1760968275
Name:ZINK, DANICA LUCINDA (ATC)
Entity Type:Individual
Prefix:
First Name:DANICA
Middle Name:LUCINDA
Last Name:ZINK
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-1744
Mailing Address - Country:US
Mailing Address - Phone:712-880-0297
Mailing Address - Fax:
Practice Address - Street 1:339 E 7TH ST
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1744
Practice Address - Country:US
Practice Address - Phone:712-880-0297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer