Provider Demographics
NPI:1720962087
Name:HUISINGA, CLAIRE (PT, DPT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:HUISINGA
Suffix:
Gender:F
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 1:967 E 1730 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IL
Mailing Address - Zip Code:61856-8405
Mailing Address - Country:US
Mailing Address - Phone:217-979-3195
Mailing Address - Fax:
Practice Address - Street 1:400 NORTH ST
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1867
Practice Address - Country:US
Practice Address - Phone:207-282-7121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216306225100000X
MEPT7234225100000X
MAPTL27177225100000X
IL070027615225100000X
AK225376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist