Individual
ADAM CHARLES WHITEHEAD
Active
Individual
ADAM CHARLES WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
106407
AK
225700000X
Massage Therapist
Primary
227040
AK
225700000X
Massage Therapist
MT.0014003
CO
225700000X
Massage Therapist
MT012734
GA
225700000X
Massage Therapist
MT9338
TN
Other
Enumeration date
05/24/2016
Last updated
08/14/2025
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