Doctor Name: | MRS. ANDREA MARIE EATON-WHITLEY |
NPI Number: | 1457600389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MSG003323 |
Business Practice Address: | 2738 Fischer Rd Hatfield, PA - 194402899 |
Business Phone Number: | 2154122090 |
Business Fax Number: | |
Mailing Address: | Po Box 51, 2413 Trewigtown Rd. COLMAR |
State: | PA |
Postal Code: | 189150051 |
Phone Number: | 5085618803 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MSG003323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |