Individual
WHITNEY ANNE REITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CD
Contact information
Practice address
4030 PICKSTONE DR, FAIRFAX, VA 22032-1344
(240) 988-6302
Mailing address
4030 PICKSTONE DR, FAIRFAX, VA 22032-1344
(240) 988-6302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017251
VA
374J00000X
Doula
13468
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019017251
LICENSE TO PRACTICE AS A MASSAGE THERPIST
VA
01
—
13468
DONA INTERNATIONAL CERTIFIED BIRTH DOULA
—
01
—
24-19
CITY OF FAIRFAX MASSAGE THERAPIST PERMIST
VA
01
—
M20-048
FAIRFAX COUNTY MASSAGE THERAPY PERMIT
VA
Enumeration date
11/20/2020
Last updated
11/20/2020
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