Individual
JASON SCOTT WHIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
319A SOUTHBRIDGE ST, AUBURN, MA 01501-2598
(508) 832-2628
(508) 832-4099
Mailing address
63 WINTHROP LN, HOLDEN, MA 01520-2540
(508) 864-6205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16034
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322351
—
MA
01
—
3322108
AETNA
MA
01
—
7574763
AETA PIN
MA
01
—
9306424
PHCS
MA
01
—
Y68255
BCBS
MA
Enumeration date
02/22/2006
Last updated
01/03/2024
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