Individual
DR. MAX WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4016 STATE ST, BETTENDORF, IA 52722-6131
(815) 918-1982
Mailing address
4016 STATE ST, BETTENDORF, IA 52722-6131
(815) 918-1982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
IL
2251S0007X
Sports Physical Therapist
070023071
IL
2251S0007X
Sports Physical Therapist
Primary
122358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070023071
STATE LICENSE
IL
Enumeration date
04/29/2020
Last updated
08/28/2025
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