Individual
JENNIFER LYNN WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 ASHER CT, EAST LANSING, MI 48823-8444
(517) 351-9240
Mailing address
1010 SUMMERHAVEN RD, CLARKSVILLE, TN 37042-4792
(931) 538-8076
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10253
TN
225700000X
Massage Therapist
Primary
7501011621
MI
Other
Enumeration date
08/24/2017
Last updated
01/30/2022
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