Provider Demographics
NPI:1972552255
Name:HUNKELE, THOMAS II (MPT, ATC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:HUNKELE
Suffix:II
Gender:M
Credentials:MPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13800 53RD AVE N
Mailing Address - Street 2:UNIT 9
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-1841
Mailing Address - Country:US
Mailing Address - Phone:952-918-8323
Mailing Address - Fax:952-828-6555
Practice Address - Street 1:9520 VIKING DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-3825
Practice Address - Country:US
Practice Address - Phone:952-918-8323
Practice Address - Fax:952-828-6555
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013858L225100000X
PART002110A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer