Individual
JASON SCOTT WHIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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