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Individual

MRS. CATHY SUZETTE WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T

Contact information

Practice address
710 EAST MAIN STREET, LEXINGTON, KY 40502
(859) 629-6106
(859) 422-6712
Mailing address
710 EAST MAIN STREET, LEXINGTON, KY 40502
(859) 629-6106
(859) 422-6712

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
003854
KY
2251P0200X
Pediatric Physical Therapist
Primary
003854
KY

Other

Enumeration date
03/22/2018
Last updated
03/22/2018
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