Individual
MICHAEL D WHITNEY
Active
Individual
MICHAEL D WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00007703
WA
225100000X
Physical Therapist
Primary
PT1365
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ID
01
—
PT 1365
IDAHO LICENSE
ID
Enumeration date
07/25/2006
Last updated
01/02/2008
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