Doctor Name: | DR. WILLIAM WHITTINGTON |
NPI Number: | 1093161259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T |
License Number: | PT5926 |
Business Practice Address: | 7900 Airways Blvd Suite 2 Southaven, MS - 386714113 |
Business Phone Number: | 6625364096 |
Business Fax Number: | |
Mailing Address: | 3380 Woodland Trce E, SOUTHAVEN |
State: | MS |
Postal Code: | 386728772 |
Phone Number: | 5408470867 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2016 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT5926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |