Provider Demographics
NPI:1386835221
Name:PINKALL, ERIC J (MPT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:J
Last Name:PINKALL
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11336 S 96TH ST STE 114
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4211
Mailing Address - Country:US
Mailing Address - Phone:402-315-3603
Mailing Address - Fax:402-315-3604
Practice Address - Street 1:11336 S 96TH ST STE 114
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4211
Practice Address - Country:US
Practice Address - Phone:402-315-3603
Practice Address - Fax:402-315-3604
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1150225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist