Doctor Name: | WHITNEY RENE MOULTON |
NPI Number: | 1740671874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 9877 |
Business Practice Address: | 14000 Fairview Dr Burnsville, MN - 553375713 |
Business Phone Number: | 9529935900 |
Business Fax Number: | |
Mailing Address: | 51420 Game Ave, RUSH CITY |
State: | MN |
Postal Code: | 550692302 |
Phone Number: | 5152108152 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |