Individual
KINSEY MICHELLE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
413 N 1ST ST, VINCENNES, IN 47591-1301
(812) 885-2767
Mailing address
413 N 1ST ST, VINCENNES, IN 47591-1301
(812) 885-2767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009663A
IN
Other
Enumeration date
09/22/2012
Last updated
06/09/2014
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