Individual
TANNER WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6830 XAVIER CIR, UNIT 3, WESTMINSTER, CO 80030-5714
(303) 552-6125
Mailing address
6830 XAVIER CIR, UNIT 3, WESTMINSTER, CO 80030-5714
(303) 552-6125
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
225C00000X
Rehabilitation Counselor
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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