Individual
JESSE DANIEL WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20059 KING RD, WOODHAVEN, MI 48183-1032
(734) 365-5112
(734) 365-5115
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006302
MI
Other
Enumeration date
08/12/2026
Last updated
08/13/2026
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