Doctor Name: | REBECCA JILL WHISENANT |
NPI Number: | 1255772455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, CPT |
License Number: | MA#73337 |
Business Practice Address: | 730 N New Warrington Rd Pensacola, FL - 325064247 |
Business Phone Number: | 8504668734 |
Business Fax Number: | |
Mailing Address: | 102 W Moreno St Apt 2, PENSACOLA |
State: | FL |
Postal Code: | 325012160 |
Phone Number: | 8507362526 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2013 |
NPI Last Update Date: | 09/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA#73337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |