Provider Demographics
NPI:1780660829
Name:HUNKOVIC, MATTHEW M (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:M
Last Name:HUNKOVIC
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 NW GILMAN BLVD
Mailing Address - Street 2:STE C108
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5326
Mailing Address - Country:US
Mailing Address - Phone:425-391-6794
Mailing Address - Fax:
Practice Address - Street 1:730 NW GILMAN BLVD
Practice Address - Street 2:STE C108
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5326
Practice Address - Country:US
Practice Address - Phone:425-391-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist