| Doctor Name: | MRS. MISTY LEIGH WHITE- KING |
| NPI Number: | 1851460778 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OCCUPATIONAL THERAPY |
| License Number: | 056005570 |
| Business Practice Address: | 399 Berlin Rd New Berlin, IL - 626707957 |
| Business Phone Number: | 2176520146 |
| Business Fax Number: | |
| Mailing Address: | 399 Berlin Rd, NEW BERLIN |
| State: | IL |
| Postal Code: | 626704541 |
| Phone Number: | 2176520146 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 056005570 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |