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Individual

LINDSEY LANDRENEAU WHATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
506 ACADEMY RD STE 1, STARKVILLE, MS 39759-4022
(251) 455-3685
Mailing address
506 ACADEMY RD STE 1, STARKVILLE, MS 39759-4022
(251) 455-3685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5930
MS
261QP2000X
Physical Therapy Clinic/Center
PTH7174
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003819608
GROUP NPI
AL
05
529917620
AL
Enumeration date
06/23/2014
Last updated
01/09/2024
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