Provider Demographics
NPI:1679313472
Name:HUNTSINGER, ALEX MICHAEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:MICHAEL
Last Name:HUNTSINGER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 DUDLEY PARK LOOP APT 215
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2983
Mailing Address - Country:US
Mailing Address - Phone:828-707-7816
Mailing Address - Fax:
Practice Address - Street 1:75 FREEDOM PKWY STE E
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-4939
Practice Address - Country:US
Practice Address - Phone:984-215-3260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP23233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist