Individual
RANDY WHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E HUNT ST, SHOW LOW, AZ 85901-7954
(928) 537-6532
Mailing address
PO BOX 597, TAYLOR, AZ 85939-0597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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